A 44-year-old woman attends the emergency department with a swollen, painful left calf after a long-haul flight. Her Wells score for DVT is 3 (moderat...

Question

A 44-year-old woman attends the emergency department with a swollen, painful left calf after a long-haul flight. Her Wells score for DVT is 3 (moderate probability). She has no contraindications to anticoagulation. According to NICE guidance, what is the most appropriate next diagnostic step?

Accepted Answer

Proximal leg vein Doppler ultrasound within 4 hours

Answer

D-dimer test only

Answer

Immediate therapeutic anticoagulation with no further tests

Answer

CT pulmonary angiogram

Answer

MR venography of lower limb veins

uk-plab-1 MCQ (SBA): Deep vein thrombosis

A 44-year-old woman attends the emergency department with a swollen, painful left calf after a long-haul flight. Her Wells score for DVT is 3 (moderate probability). She has no contraindications to anticoagulation. According to NICE guidance, what is the most appropriate next diagnostic step?