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EasyHaematologyDeep vein thrombosisau-amcau-racgp

A 56-year-old man presents with a painful, swollen right leg after a long-haul flight from London to Sydney. Examination shows pitting oedema and tenderness of the right calf with a positive Homans sign. There is no dyspnoea or chest pain. Wells score is high for DVT. What is the most appropriate initial investigation?

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