Question

A 67-year-old man presents with unilateral swollen, tender left calf after a long-haul flight. Wells score is 4 (high probability) and a proximal leg vein ultrasound cannot be performed within 4 hours. What is the most appropriate immediate management?

Accepted Answer

Start therapeutic low molecular weight heparin and arrange ultrasound within 24 hours

Answer

Give no treatment and book ultrasound for the next day

Answer

Start low-dose Aspirin and review in 1 week

Answer

Arrange D-dimer testing and await result before treating

Answer

Admit for intravenous unfractionated heparin infusion without imaging

Practice question

A 67-year-old man presents with unilateral swollen, tender left calf after a long-haul flight. Wells score is 4 (high probability) and a proximal leg vein ultrasound cannot be performed within 4 hours. What is the most appropriate immediate management?