A 40-year-old man presents with a swollen, painful left calf after a long-haul flight. Doppler ultrasound confirms a proximal deep vein thrombosis. He...

Question

A 40-year-old man presents with a swollen, painful left calf after a long-haul flight. Doppler ultrasound confirms a proximal deep vein thrombosis. He has no active cancer, good renal function and no history of bleeding. What is the most appropriate initial anticoagulation?

Accepted Answer

A direct oral anticoagulant such as Apixaban at treatment dose

Answer

Low-molecular-weight Heparin followed by Warfarin with INR monitoring

Answer

Aspirin 75 mg daily

Answer

No anticoagulation and arrange repeat ultrasound in 1 week

Answer

Unfractionated Heparin infusion and immediate IVC filter insertion

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

A 40-year-old man presents with a swollen, painful left calf after a long-haul flight. Doppler ultrasound confirms a proximal deep vein thrombosis. He has no active cancer, good renal function and no history of bleeding. What is the most appropriate initial anticoagulation?