Question

A 59 year old woman presents with a painful swollen left calf after a long haul flight. Her Wells score for deep vein thrombosis is high. According to NICE guidance on venous thromboembolic diseases, what is the most appropriate initial investigation if it can be arranged within 4 hours?

Accepted Answer

Proximal leg vein ultrasound scan

Answer

D dimer test

Answer

CT pulmonary angiography

Answer

MR venography

Answer

Empirical anticoagulation without imaging

Practice question

A 59 year old woman presents with a painful swollen left calf after a long haul flight. Her Wells score for deep vein thrombosis is high. According to NICE guidance on venous thromboembolic diseases, what is the most appropriate initial investigation if it can be arranged within 4 hours?