A 28-year-old pregnant woman at 22 weeks' gestation presents with a swollen, painful left calf. She has no haemodynamic compromise. Wells score sugges...

Question

A 28-year-old pregnant woman at 22 weeks' gestation presents with a swollen, painful left calf. She has no haemodynamic compromise. Wells score suggests DVT is likely. According to NICE VTE guidance, which is the most appropriate initial management?

Accepted Answer

Start low molecular weight heparin and arrange same-day compression ultrasound of the leg.

Answer

Start a direct oral anticoagulant such as Rivaroxaban.

Answer

Observe without treatment until ultrasound is available the next day.

Answer

Start warfarin with target INR 2.5.

Answer

Use aspirin alone for thromboprophylaxis.

uk-plab-1 MCQ (SBA): DVT in pregnancy

A 28-year-old pregnant woman at 22 weeks' gestation presents with a swollen, painful left calf. She has no haemodynamic compromise. Wells score suggests DVT is likely. According to NICE VTE guidance, which is the most appropriate initial management?