Question

A 45-year-old man with suspected deep vein thrombosis (DVT) in his left leg has a Wells score of 1 (DVT unlikely). There are no red flags. According to NICE VTE guidance, what is the next best step?

Accepted Answer

Request a D-dimer test

Answer

Start therapeutic anticoagulation immediately without further tests

Answer

Order a proximal leg vein ultrasound within 24 hours

Answer

Reassure and discharge without investigation

Answer

Arrange venography

Practice question

A 45-year-old man with suspected deep vein thrombosis (DVT) in his left leg has a Wells score of 1 (DVT unlikely). There are no red flags. According to NICE VTE guidance, what is the next best step?