Question

A 42-year-old woman with unilateral calf swelling after a long-haul flight has a Wells score of 3 (likely DVT). D-dimer results will be delayed until tomorrow. What is the next best step?

Accepted Answer

Start therapeutic LMWH and arrange same-day proximal leg ultrasound

Answer

Reassure and await D-dimer

Answer

Start aspirin and review in 1 week

Answer

Start prophylactic LMWH dose and review in 48 hours

Answer

Order outpatient MR venography

Practice question

A 42-year-old woman with unilateral calf swelling after a long-haul flight has a Wells score of 3 (likely DVT). D-dimer results will be delayed until tomorrow. What is the next best step?