A 54-year-old woman presents with a swollen, painful left calf 2 days after a long-haul flight. Wells score indicates moderate probability of deep vei...

Question

A 54-year-old woman presents with a swollen, painful left calf 2 days after a long-haul flight. Wells score indicates moderate probability of deep vein thrombosis. According to Australian guidelines, what is the most appropriate initial investigation strategy?

Accepted Answer

Compression duplex ultrasonography of the leg veins

Answer

D-dimer alone, and if positive treat without imaging

Answer

Conventional contrast venography

Answer

CT pulmonary angiography

Answer

No investigation is necessary; treat empirically

au-amc MCQ (SBA): Deep vein thrombosis

A 54-year-old woman presents with a swollen, painful left calf 2 days after a long-haul flight. Wells score indicates moderate probability of deep vein thrombosis. According to Australian guidelines, what is the most appropriate initial investigation strategy?