Wells' score Flashcards
1
Q
HPC
A
Calf swelling (>3cm larger than the other leg) Whole leg? Unilateral? Any raised veins (not varicose) Tenderness in the area of deep veins Unilateral pitting oedema
2
Q
PMHx
A
Previous DVT? Cancer? Recently bedridden (>3days) Surgery within 12 weeks Paralysis or cast of leg
3
Q
DHx
A
Oral contraceptive pill
4
Q
Social Hx
A
Air travel
5
Q
What score indicates that a DVT is likely?
A
> 2
6
Q
How should you manage someone with a Wells’ score of >2?
A
Proximal leg vein US within 4 hours
D-dimer
24 hour dose of anti-coagulation (dalteparin)
7
Q
How should you manage someone with a Wells’ score of <2?
A
D-dimer to exclude a DVT
