A 60-year-old man with a 30 pack-year smoking history presents with right calf pain and swelling after a long-haul flight. Duplex ultrasound confirms ...

Question

A 60-year-old man with a 30 pack-year smoking history presents with right calf pain and swelling after a long-haul flight. Duplex ultrasound confirms a proximal deep vein thrombosis. He has no active cancer or renal impairment. According to Australian VTE guidelines, what is the preferred initial and ongoing anticoagulant?

Accepted Answer

Direct oral anticoagulant such as apixaban at treatment dose

Answer

Low molecular weight heparin for 5 days then warfarin

Answer

Aspirin monotherapy

Answer

No anticoagulation; compressive stockings only

Answer

Unfractionated heparin infusion only

au-amc MCQ (SBA): Deep vein thrombosis anticoagulation