Question

A 32-year-old woman presents to the ED complaining of right calf swelling for one week. She is one week postpartum following an uneventful full-term vaginal delivery. She denies any chest pain, dyspnea, or cough. On examination, her right calf is 16 cm in circumference; her left calf is 10 cm. Which of the following is the most appropriate test to confirm the diagnosis?
a. D-dimer assay
b. Duplex ultrasound
c. Impedance plethysmography
d. Venography

Answer 1

Answer:

The answer is B. Duplex ultrasound

Explanation:

This is a 32-year-old female patient with a week of prolonged vaginal postpartum, who has pain and inflammation of the right calf. On physical examination, his right calf measures 16 centimeters, while the left calf, 10 centimeters. This patient is surely presenting a condition of deep vein thrombosis. It merits for its study initially Duplex Ultrasound to confirm the diagnosis.