Question

A 52-year-old man with suspected DVT (calf swelling, tenderness; Wells score 3) can get ultrasound within 4 hours. Next step?

Accepted Answer

Perform proximal leg vein ultrasound today and give LMWH if positive

Answer

Offer D-dimer only and discharge

Answer

Start LMWH and arrange ultrasound in 1 week

Answer

Start DOAC immediately without imaging

Answer

Refer to vascular surgery now

Practice question

A 52-year-old man with suspected DVT (calf swelling, tenderness; Wells score 3) can get ultrasound within 4 hours. Next step?