A 55-year-old woman presents with a suspected DVT (Wells score 3). The radiology department cannot perform a compression ultrasound scan for 18 hours....

Question

A 55-year-old woman presents with a suspected DVT (Wells score 3). The radiology department cannot perform a compression ultrasound scan for 18 hours. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic anticoagulation (e.g., Apixaban) immediately

Answer

D-dimer testing and anticoagulate if positive

Answer

Start prophylactic dose LMWH and await scan

Answer

Advise mobilization and compression stockings only

Answer

Reassess Wells score in 6 hours

ukmla MCQ (SBA): Deep Vein Thrombosis (DVT) Management

A 55-year-old woman presents with a suspected DVT (Wells score 3). The radiology department cannot perform a compression ultrasound scan for 18 hours. What is the most appropriate immediate management?