Question

A 62-year-old woman presents to her GP with a painful, swollen left calf 2 days after a long-haul flight. She has a Wells score of 3 for suspected deep vein thrombosis (DVT). There is no history of bleeding disorders and renal function is normal. D-dimer testing is not immediately available. According to NICE guidance, what is the most appropriate initial management?

Accepted Answer

Start therapeutic-dose low molecular weight Heparin and arrange Doppler ultrasound within 24 hours

Answer

Reassure and review in 1 week

Answer

Arrange urgent Doppler ultrasound within 4 hours and withhold anticoagulation until the result is known

Answer

Give prophylactic-dose low molecular weight Heparin and review in 1 week

Answer

Start Warfarin immediately without imaging

Practice question