A 58-year-old woman presents with a swollen, tender left calf after a long-haul flight. Wells score for DVT is 3 (moderate pre-test probability). She ...

Question

A 58-year-old woman presents with a swollen, tender left calf after a long-haul flight. Wells score for DVT is 3 (moderate pre-test probability). She has no major bleeding risks. According to evidence-based pathways, what is the best next step?

Accepted Answer

Start full-dose anticoagulation and arrange urgent compression ultrasonography

Answer

Order a D-dimer test only

Answer

Send her home with advice to return if symptoms worsen

Answer

Order CT venography

Answer

Use aspirin alone while awaiting imaging

ca-mccqe1 MCQ (SBA): Deep vein thrombosis diagnosis and initial management

A 58-year-old woman presents with a swollen, tender left calf after a long-haul flight. Wells score for DVT is 3 (moderate pre-test probability). She has no major bleeding risks. According to evidence-based pathways, what is the best next step?