A 45-year-old previously well woman presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thro...

Question

A 45-year-old previously well woman presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thrombosis. She is not pregnant and has normal renal and liver function. What is the most appropriate initial treatment?

Accepted Answer

Start a direct oral anticoagulant such as rivaroxaban at full treatment dose

Answer

Start aspirin 100 mg daily

Answer

Start low-dose enoxaparin alone for 5 days

Answer

Start long-term warfarin without heparin bridging

Answer

Provide compression stockings only without anticoagulation

au-amc MCQ (SBA): Deep vein thrombosis

A 45-year-old previously well woman presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thrombosis. She is not pregnant and has normal renal and liver function. What is the most appropriate initial treatment?