Venous Thromboembolism
A 58-year-old male presents 10 days following total knee arthroplasty with progressive left calf swelling, warmth, and pain. He has been compliant with mechanical prophylaxis and aspirin 100mg daily. Examination reveals 3cm calf swelling compared to the contralateral limb, pitting edema, and tenderness along the deep venous system. He has no history of previous VTE. Regarding DVT diagnosis and the Wells score:
Mark each as TRUE or FALSE
The Wells score for DVT stratifies patients into low (0 points), moderate (1-2 points), and high (3 ...
D-dimer is highly sensitive but not specific for DVT; a negative D-dimer effectively rules out DVT i...
Compression duplex ultrasonography is the first-line imaging investigation for suspected DVT with se...
Contrast venography remains the gold standard investigation and should be performed in all patients ...
Clinical signs including Homans' sign (calf pain on dorsiflexion), pitting edema, superficial venous...
Answer the questions to see explanations
Click T (True) or F (False) for each option