DVT/PE

Question 1

What is the diagnostic test for PE?

Answer 1

CTPA

Question 2

What should be prescribed for patients with confirmed DVT?

How long should they stay on medication for?

Answer 2

ORAL anticoagulant e.g. rivoraxaban

At least 3 months

Question 3

What should be suspected in patients with DVT with no obvious risk factors (unprovoked)?

Answer 3

Malignancy

Thrombophilia

Question 4

What score system is used to identify DVT probability?

What score makes it likely/unlikely?

Answer 4

Wells Score
2+ = likely
>1 = unlikely

Question 5

If patient presents with suspected DVT under what circumstances would they be urgently sent for same day assessment and management?

Answer 5

If pregnant/<6mnths postpartum

Question 6

If DVT what investigation must be performed?

Answer 6

Leg ultrasound

Question 7

If DVT is unlikely what investigation will still be carried out?

Answer 7

D-dimer

If D-dimer low and Wells score - DVT can be ruled out

Question 8

What is the interim A/C therapy which patients should be put on whilst awaiting results?

Answer 8

Apixaban/rivaroxaban first line

Question 9

When are IVC filters considered?

Answer 9

When someone has recurrent PE despite A/C treatment