Question

A 64-year-old man presents with a swollen, painful left calf. He has a high Wells score for deep vein thrombosis. Proximal leg vein ultrasound cannot be performed within 4 hours. According to NICE guidance, what is the most appropriate immediate management?

Accepted Answer

Give a single dose of therapeutic low molecular weight heparin and arrange proximal leg vein ultrasound within 24 hours

Answer

Discharge with advice and arrange ultrasound within one week

Answer

Start low-dose Aspirin and arrange ultrasound within 24 hours

Answer

Arrange CT pulmonary angiography urgently

Answer

Offer compression stockings and review in 2 weeks

Practice question

A 64-year-old man presents with a swollen, painful left calf. He has a high Wells score for deep vein thrombosis. Proximal leg vein ultrasound cannot be performed within 4 hours. According to NICE guidance, what is the most appropriate immediate management?