A 55-year-old man presents with a swollen, painful left calf after a long-haul flight. Wells score suggests DVT is likely. A proximal leg vein Doppler...

Question

A 55-year-old man presents with a swollen, painful left calf after a long-haul flight. Wells score suggests DVT is likely. A proximal leg vein Doppler ultrasound cannot be performed for 24 hours. What is the most appropriate next step?

Accepted Answer

Give a single treatment dose of low molecular weight Heparin while awaiting ultrasound

Answer

Send D-dimer and wait for the result before treating

Answer

Start life-long warfarin immediately

Answer

Arrange CT pulmonary angiography instead of ultrasound

Answer

Discharge with safety-netting and no treatment

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

A 55-year-old man presents with a swollen, painful left calf after a long-haul flight. Wells score suggests DVT is likely. A proximal leg vein Doppler ultrasound cannot be performed for 24 hours. What is the most appropriate next step?