A 40 year old woman presents with a swollen, painful left calf after a long haul flight. Wells score indicates a high probability of deep vein thrombo...

Question

A 40 year old woman presents with a swollen, painful left calf after a long haul flight. Wells score indicates a high probability of deep vein thrombosis. Ultrasound scanning will not be available for 8 hours. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic dose low molecular weight heparin while awaiting imaging

Answer

Discharge and return when ultrasound is available

Answer

Request a D dimer test and await the result before treating

Answer

Start prophylactic dose anticoagulation only

Answer

Give aspirin and arrange ultrasound for tomorrow

uk-plab-1 MCQ (SBA): Deep vein thrombosis

A 40 year old woman presents with a swollen, painful left calf after a long haul flight. Wells score indicates a high probability of deep vein thrombosis. Ultrasound scanning will not be available for 8 hours. What is the most appropriate immediate management?