A 70-year-old man is taking Warfarin for atrial fibrillation. He presents to his GP with an acute painful, swollen left calf. A Doppler ultrasound con...

Question

A 70-year-old man is taking Warfarin for atrial fibrillation. He presents to his GP with an acute painful, swollen left calf. A Doppler ultrasound confirms a deep vein thrombosis (DVT). His INR today is 2.5. What is the most appropriate management?

Accepted Answer

Switch Warfarin to a Direct Oral Anticoagulant (DOAC) immediately

Answer

Stop Warfarin and start Low Molecular Weight Heparin (LMWH)

Answer

Continue Warfarin and add LMWH for 5 days

Answer

Increase Warfarin dose and recheck INR in 3 days

Answer

Continue Warfarin at the current dose

mrcgp akt MCQ (SBA): VTE Management (Warfarin failure)

A 70-year-old man is taking Warfarin for atrial fibrillation. He presents to his GP with an acute painful, swollen left calf. A Doppler ultrasound confirms a deep vein thrombosis (DVT). His INR today is 2.5. What is the most appropriate management?