A 45-year-old woman presents with a swollen, painful left calf after a long-haul flight. Wells score suggests a likely deep vein thrombosis (score 3)....

Question

A 45-year-old woman presents with a swollen, painful left calf after a long-haul flight. Wells score suggests a likely deep vein thrombosis (score 3). What is the most appropriate immediate management?

Accepted Answer

Start therapeutic low-molecular-weight heparin and arrange same-day proximal leg ultrasound

Answer

Arrange D-dimer testing only and await the result

Answer

Reassure and discharge without investigations

Answer

Prescribe Aspirin 75 mg and arrange routine ultrasound in 4 weeks

Answer

Start prophylactic-dose low-molecular-weight heparin

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

A 45-year-old woman presents with a swollen, painful left calf after a long-haul flight. Wells score suggests a likely deep vein thrombosis (score 3). What is the most appropriate immediate management?