A 62-year-old man presents with a swollen, painful left calf and ultrasound-confirmed proximal deep vein thrombosis. He has no active cancer or major ...

Question

A 62-year-old man presents with a swollen, painful left calf and ultrasound-confirmed proximal deep vein thrombosis. He has no active cancer or major bleeding risk and normal renal function. What is the most appropriate initial anticoagulant strategy?

Accepted Answer

Start a direct oral anticoagulant such as apixaban at therapeutic dose

Answer

Low molecular weight heparin alone for 6 months

Answer

Start warfarin with immediate therapeutic dosing and no heparin

Answer

Aspirin 100 mg daily

Answer

No anticoagulation; use compression stockings only

au-racp MCQ (SBA): Deep vein thrombosis

A 62-year-old man presents with a swollen, painful left calf and ultrasound-confirmed proximal deep vein thrombosis. He has no active cancer or major bleeding risk and normal renal function. What is the most appropriate initial anticoagulant strategy?