Woman with swollen lower limb

A 65 year old woman presents with a swollen, red, tender left lower limb. She has had surgery for a hip replacement 10 days ago. Ultrasound demonstrated a non-compressible left superficial femoral vein. What is the most appropriate management?

a) Course of vancomycin
b) stripping of varicose veins
c) Percutaneous thrombolysis
d) Pulmonary Ventilation/Perfusion scintigraphy
e) Administer low-molecular-weight-heparin



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