A 31-year-old woman presents to the GP 18 days postpartum with a painful, swollen left calf. On examination, the calf is erythematous, tender, and 3 c...

Question

A 31-year-old woman presents to the GP 18 days postpartum with a painful, swollen left calf. On examination, the calf is erythematous, tender, and 3 cm larger in circumference than the right. She is otherwise well. Which is the single most appropriate action?

Accepted Answer

Request an urgent lower limb Doppler ultrasound and commence treatment-dose LMWH while awaiting results

Answer

Prescribe compression stockings and arrange a D-dimer test

Answer

Prescribe prophylactic-dose LMWH and review in 1 week

Answer

Prescribe oral rivaroxaban

Answer

Advise elevation and NSAIDs and review in 48 hours

uk-drcog MCQ (SBA): Postpartum Deep Vein Thrombosis

A 31-year-old woman presents to the GP 18 days postpartum with a painful, swollen left calf. On examination, the calf is erythematous, tender, and 3 cm larger in circumference than the right. She is otherwise well. Which is the single most appropriate action?