Question

A 48-year-old woman presents with a swollen, painful left calf after a long car journey. Her two-level Wells score for DVT is 0 (DVT unlikely). She has no red flags. What is the most appropriate next investigation?

Accepted Answer

D-dimer test

Answer

Immediate proximal leg vein ultrasound only

Answer

CT venogram of the leg

Answer

Start empirical therapeutic anticoagulation without tests

Answer

No further investigation is required

Practice question

A 48-year-old woman presents with a swollen, painful left calf after a long car journey. Her two-level Wells score for DVT is 0 (DVT unlikely). She has no red flags. What is the most appropriate next investigation?