Question

A 64-year-old man is admitted with a painful swollen left calf after a long-haul flight. His Wells score for deep vein thrombosis (DVT) is 3 (DVT likely). Ultrasound Doppler cannot be performed until the next morning. He has no contraindications to anticoagulation. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic-dose anticoagulation while arranging ultrasound within 24 hours

Answer

Discharge home and arrange ultrasound the next day without treatment

Answer

Start prophylactic-dose low molecular weight heparin and review after ultrasound

Answer

Start Aspirin and compressive bandaging only

Answer

Admit for observation without any anticoagulation until ultrasound is available

Practice question