DVT

Question 1

Wells Score

Answer 1

1 point for:

1. Active Cancer
2. Leg paralysed or in plaster
3. Previous bed rest >3/7 or major surgery within 12 weeks
4. Previous DVT
5. Visible collateral superficial veins
6. Pitting oedema
7. Tenderness along veins
8. Whole leg swollen
9. > 3cm calf swelling

-2 points if there is another diagnosis which is as/more likely

Question 2

Symptoms/Signs

Answer 2

Warm, red, tender, swollen limb

Pitting oedema

Question 3

Risk factors

Answer 3

Age >60
Obesity
Recent surgery/immobility/long distance travel
Oestrogen (pregnancy, HRT OCP)
PMHx/FHx of previous DVT, malignancy, thrombophilia, medical comorbidity

Question 4

Investigations

Answer 4

Bloods:
FBC, U&E, D-dimer, Wells score (possible Dopplar)

If suspected PE:
ECG, maybe ABG

Question 5

Treatment

Answer 5

If USS positive or delayed >4hrs = LMWH SC

Confimed DVT = oral anticoagulation