Question

A 28-year-old man presents with a painful swollen left calf after a long-haul flight. Wells score suggests a likely DVT. There is no contraindication to anticoagulation. What is the most appropriate immediate management in primary care?

Accepted Answer

Start a direct oral anticoagulant immediately and arrange same-day ultrasound

Answer

Send him urgently to hospital for D-dimer only and no treatment

Answer

Reassure and review in 48 hours if symptoms persist

Answer

Prescribe aspirin and arrange routine vascular clinic review

Answer

Start prophylactic-dose low-molecular-weight heparin and arrange outpatient ultrasound in 2 weeks

Practice question

A 28-year-old man presents with a painful swollen left calf after a long-haul flight. Wells score suggests a likely DVT. There is no contraindication to anticoagulation. What is the most appropriate immediate management in primary care?