Question

A 72-year-old woman presents with sudden onset of severe pain, pallor and coolness in her right leg. On examination, the right foot is pale, cold and pulseless, with reduced power and paraesthesia below the ankle. Symptoms began 3 hours ago. What is the most appropriate immediate management?

Accepted Answer

Commence full-dose intravenous unfractionated heparin and urgently refer for vascular surgery assessment

Answer

Arrange outpatient Doppler ultrasound of the leg arteries

Answer

Start aspirin and review in 24 hours

Answer

Elevate the leg and observe for 6 hours before further action

Answer

Give a fluid bolus and await CT angiography in 48 hours

Practice question

A 72-year-old woman presents with sudden onset of severe pain, pallor and coolness in her right leg. On examination, the right foot is pale, cold and pulseless, with reduced power and paraesthesia below the ankle. Symptoms began 3 hours ago. What is the most appropriate immediate management?