Question

A 54-year-old woman with long-standing type 2 diabetes presents with acute onset of a painful, swollen, warm left leg. Doppler ultrasound confirms a proximal deep vein thrombosis (DVT). She has normal kidney function and no cancer. What is the MOST appropriate initial anticoagulation strategy?

Accepted Answer

Commence a direct-acting oral anticoagulant at therapeutic dose

Answer

Start aspirin alone

Answer

Begin low-dose LMWH and no ongoing anticoagulation

Answer

Withhold anticoagulation and repeat ultrasound in 1 week

Answer

Use compression stockings only

Practice question

A 54-year-old woman with long-standing type 2 diabetes presents with acute onset of a painful, swollen, warm left leg. Doppler ultrasound confirms a proximal deep vein thrombosis (DVT). She has normal kidney function and no cancer. What is the MOST appropriate initial anticoagulation strategy?