A 40-year-old with acute unilateral leg swelling has Wells score of 0 and negative high-sensitivity D-dimer. Management?...

Question

A 40-year-old with acute unilateral leg swelling has Wells score of 0 and negative high-sensitivity D-dimer. Management?

Accepted Answer

No imaging; DVT excluded

Answer

Immediate duplex ultrasound

Answer

Start anticoagulation empirically

Answer

Order CT venography

Answer

Return in 72 hours for repeat D-dimer

us-abem MCQ (SBA): DVT Diagnosis