A 34-year-old woman with calf pain and swelling has a Wells score of 1 (DVT unlikely). According to NICE VTE guidance, which strategy is appropriate?...

Question

A 34-year-old woman with calf pain and swelling has a Wells score of 1 (DVT unlikely). According to NICE VTE guidance, which strategy is appropriate?

Accepted Answer

D-dimer first; if positive, proximal leg vein ultrasound within 4 hrs (or within 24 hrs with interim LMWH)

Answer

Immediate therapeutic LMWH and outpatient scan within 1 week

Answer

Proceed straight to ultrasound without D-dimer

Answer

Reassure and review if worse

Answer

Start DOAC and no imaging needed

ukmla MCQ (SBA): Deep Vein Thrombosis