Question

A 46-year-old woman with no significant past medical history presents with a swollen, tender left calf 2 days after a 10-hour flight. Wells score is 1 (DVT unlikely). What is the most appropriate next step?

Accepted Answer

Send D-dimer; if negative, DVT can be excluded

Answer

Start therapeutic low-molecular-weight heparin immediately

Answer

Arrange urgent CT pulmonary angiography

Answer

Discharge without further tests

Answer

Arrange immediate surgical thrombectomy

Practice question

A 46-year-old woman with no significant past medical history presents with a swollen, tender left calf 2 days after a 10-hour flight. Wells score is 1 (DVT unlikely). What is the most appropriate next step?