A 51-year-old woman presents with atraumatic swelling and pain of her right calf for 2 days. She recently completed a 14-hour flight from Europe. On e...

Question

A 51-year-old woman presents with atraumatic swelling and pain of her right calf for 2 days. She recently completed a 14-hour flight from Europe. On examination, the right calf is tender and 3 cm larger in circumference than the left. There is no shortness of breath or chest pain. Wells score for DVT is high probability. What is the most appropriate initial investigation?

Accepted Answer

Compression duplex ultrasound of the affected leg veins

Answer

D-dimer assay only

Answer

CT pulmonary angiogram

Answer

MRI of the leg

Answer

No investigation; start empirical anticoagulation only

au-amc MCQ (SBA): Deep vein thrombosis