A 60-year-old woman living in a remote community with limited access to imaging presents with a painful, swollen calf after prolonged immobility. Clin...

Question

A 60-year-old woman living in a remote community with limited access to imaging presents with a painful, swollen calf after prolonged immobility. Clinical Wells score suggests high probability of DVT but ultrasound is not immediately available. What is the most appropriate management?

Accepted Answer

Start therapeutic anticoagulation while arranging urgent imaging

Answer

Discharge home and wait for imaging availability

Answer

Order only a D-dimer test

Answer

Give aspirin only

Answer

Avoid anticoagulation due to bleeding risk

ca-mccqe1 MCQ (SBA): Deep vein thrombosis

A 60-year-old woman living in a remote community with limited access to imaging presents with a painful, swollen calf after prolonged immobility. Clinical Wells score suggests high probability of DVT but ultrasound is not immediately available. What is the most appropriate management?