A 56-year-old man presents with a painful, swollen right leg after a long-haul flight from London to Sydney. Examination shows pitting oedema and tend...

Question

A 56-year-old man presents with a painful, swollen right leg after a long-haul flight from London to Sydney. Examination shows pitting oedema and tenderness of the right calf with a positive Homans sign. There is no dyspnoea or chest pain. Wells score is high for DVT. What is the most appropriate initial investigation?

Accepted Answer

Compression duplex ultrasound of the right leg veins

Answer

D-dimer alone

Answer

CT pulmonary angiography

Answer

Plain X-ray of the leg

Answer

Empiric anticoagulation without imaging or further tests

au-amc MCQ (SBA): Deep vein thrombosis