A 64-year-old man has unilateral calf swelling and pain 6 days after prostatectomy. He received inpatient prophylaxis but is now at home. Oxygen

Question

A 64-year-old man has unilateral calf swelling and pain 6 days after prostatectomy. He received inpatient prophylaxis but is now at home. Oxygen saturation is 97%. Duplex ultrasound shows proximal femoral vein thrombosis. Which of the following is the most appropriate next step in management?

Accepted Answer

Start therapeutic anticoagulation

Answer

Start antibiotics for cellulitis without anticoagulation

Answer

Massage the calf vigorously

Answer

Prescribe aspirin as sole treatment

Answer

Place a cast and observe

Postoperative deep vein thrombosis — USMLE Step 3 MCQ

A 64-year-old man has unilateral calf swelling and pain 6 days after prostatectomy. He received inpatient prophylaxis but is now at home. Oxygen saturation is 97%. Duplex ultrasound shows proximal femoral vein thrombosis. Which of the following is the most appropriate next step in management?