A 62-year-old woman presents with a swollen, painful left calf after a long-haul flight. Examination shows calf tenderness and a 3 cm difference in ca...

Question

A 62-year-old woman presents with a swollen, painful left calf after a long-haul flight. Examination shows calf tenderness and a 3 cm difference in calf circumference compared to the right. She has no haemodynamic compromise. Her Wells score for DVT is calculated as 2 (”DVT likely”). What is the most appropriate next investigation?

Accepted Answer

Compression duplex ultrasound of the leg within 4 hours

Answer

D-dimer test only

Answer

CT pulmonary angiography

Answer

Empirical low molecular weight heparin without imaging

Answer

Contrast venography

uk-plab-1 MCQ (SBA): Suspected deep vein thrombosis