DVT

Question 1

Scoring system used to assess likelihood of DVT

Answer 1

Well’s Score

Question 2

Investigations to order if DVT is “likely” i.e. high Wells score

Answer 2

• proximal leg vein ultrasound scan within 4 hours
• if negative or cannot be completed within 4 hours then D-dimer

Question 3

Management of DVT

Answer 3

• DOACs (1st Line)
• LMWH if active cancer
• severe renal impairment LMWH or unfractionated heparin

Question 4

How long should anticoagulation be continued for DVT

Answer 4

• at least 3 months
• provoked DVT - stop after initial 3 months
• if active cancer 3-6 months
• unprovoked DVT 6 months total