A 30-year-old woman, 10 days postpartum, calls the GP surgery with bilateral calf pain. She had an emergency caesarean section and has been relatively...

Question

A 30-year-old woman, 10 days postpartum, calls the GP surgery with bilateral calf pain. She had an emergency caesarean section and has been relatively immobile since. Her left calf is slightly more swollen than the right. She has no chest symptoms. What is the single most important immediate action?

Accepted Answer

Arrange urgent bilateral lower limb Doppler ultrasound and start treatment-dose LMWH pending results

Answer

Advise paracetamol and compression stockings

Answer

Arrange a D-dimer test first

Answer

Advise walking and recheck in 1 week

Answer

Prescribe prophylactic-dose LMWH only

uk-drcog MCQ (SBA): Postnatal DVT After Caesarean - Immediate LMWH