Question

A 64-year-old woman presents with a swollen, painful left calf after a long-haul flight. Her Wells score is high, but ultrasound scan cannot be arranged for 12 hours. She has no contraindications to anticoagulation. What is the most appropriate management?

Accepted Answer

Start therapeutic low-molecular-weight Heparin and arrange ultrasound within 24 hours

Answer

Discharge with reassurance and review if worse

Answer

Wait for ultrasound without treatment

Answer

Start prophylactic-dose Heparin only

Answer

Give aspirin alone while awaiting imaging

Practice question

A 64-year-old woman presents with a swollen, painful left calf after a long-haul flight. Her Wells score is high, but ultrasound scan cannot be arranged for 12 hours. She has no contraindications to anticoagulation. What is the most appropriate management?