A 62-year-old man presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thrombosis. He has no ...

Question

A 62-year-old man presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thrombosis. He has no active cancer and normal renal function. What is the most appropriate initial management?

Accepted Answer

Start a direct oral anticoagulant such as apixaban

Answer

Begin low-molecular-weight heparin followed by warfarin with INR 2-3

Answer

Start aspirin alone for 3 months

Answer

Recommend compression stockings only

Answer

Withhold anticoagulation and repeat ultrasound in 1 week

ca-mccqe1 MCQ (SBA): Deep vein thrombosis

A 62-year-old man presents with a swollen, painful left calf after a long-haul flight. Ultrasound confirms a proximal deep vein thrombosis. He has no active cancer and normal renal function. What is the most appropriate initial management?