Question

A 34-year-old with suspected acute DVT of the leg has high pretest probability by Wells criteria. Imaging will be delayed. What is the next step?

Accepted Answer

Start therapeutic anticoagulation while awaiting confirmatory imaging if bleeding risk is low

Answer

Wait for ultrasound before any treatment

Answer

Start prophylactic-dose LMWH while waiting

Answer

Order a D-dimer only and reassess in 72 hours

Answer

Apply compression stockings only

Practice question

A 34-year-old with suspected acute DVT of the leg has high pretest probability by Wells criteria. Imaging will be delayed. What is the next step?