Question

A 40-year-old woman presents with unilateral left leg swelling and calf pain after a long-haul flight. She is taking an oestrogen-containing oral contraceptive. Her Wells score for deep vein thrombosis (DVT) is high. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic anticoagulation and arrange urgent venous duplex ultrasound

Answer

Arrange venous duplex ultrasound in 1 week and withhold treatment until then

Answer

Order a D-dimer test and decide on treatment based on the result

Answer

Reassure her that this is likely muscle strain and discharge without imaging

Answer

Begin low-dose aspirin alone for thromboprophylaxis

Practice question

A 40-year-old woman presents with unilateral left leg swelling and calf pain after a long-haul flight. She is taking an oestrogen-containing oral contraceptive. Her Wells score for deep vein thrombosis (DVT) is high. What is the most appropriate immediate management?