Question

A 62-year-old man presents with a swollen, painful left calf two days after a long-haul flight. His Wells score for DVT is high. Ultrasound scanning will not be available for 24 hours. What is the most appropriate management now?

Accepted Answer

Start full-dose oral apixaban immediately

Answer

Reassure and arrange ultrasound without treatment

Answer

Give low-dose aspirin until ultrasound

Answer

Advise leg elevation only while awaiting scan

Answer

Admit for observation without anticoagulation

Practice question

A 62-year-old man presents with a swollen, painful left calf two days after a long-haul flight. His Wells score for DVT is high. Ultrasound scanning will not be available for 24 hours. What is the most appropriate management now?