A 68-year-old man presents with acute unilateral swollen, painful calf after a long-haul flight. Duplex ultrasonography confirms a proximal deep vein ...

Question

A 68-year-old man presents with acute unilateral swollen, painful calf after a long-haul flight. Duplex ultrasonography confirms a proximal deep vein thrombosis (DVT). He has no cancer and normal renal function. According to contemporary VTE guidelines, what is the most appropriate initial management?

Accepted Answer

Start a direct oral anticoagulant such as apixaban or rivaroxaban

Answer

Start warfarin alone with dose titrated to INR 2-3

Answer

Begin low-molecular-weight heparin bridge to warfarin

Answer

Prescribe aspirin only

Answer

Recommend compression stockings alone without anticoagulation

ca-mccqe1 MCQ (SBA): Deep vein thrombosis