Vascular SurgeryHaematology
DVT Diagnosis + Treatment
Wells score + D-dimer + Doppler USS; anticoagulate; investigate provoking factor; thrombophilia + cancer screen if indicated.
Source: NICE NG158
Step 1 of ~4
info
Recognise + Wells Score
Features: unilateral leg swelling, pain, warmth, erythema, tenderness along deep veins, distended superficial veins, pitting oedema.
Wells DVT score (NICE NG158):
• Active cancer (1).
• Paralysis / paresis / immobilisation (1).
• Bedrest >3 days OR major surgery <12 weeks (1).
• Tenderness along deep veins (1).
• Entire leg swollen (1).
• Calf swelling >3 cm vs unaffected (1).
• Pitting oedema confined to symptomatic leg (1).
• Collateral superficial veins (1).
• Previous DVT (1).
• Alternative diagnosis equally likely (-2).
Score: ≥2 = likely DVT; <2 = unlikely.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Fondaparinux · Indirect Factor Xa Inhibitor — VTE Prophylaxis / Treatment
- Dalteparin · Low Molecular Weight Heparin — VTE Treatment / Cancer-Associated Thrombosis
- Edoxaban (VTE Treatment/PE — Vascular) · Direct Factor Xa Inhibitor (DOAC)
- Thiamine (IV/IM — Pabrinex) · Vitamin B1 (Thiamine) — deficiency treatment / Wernicke's encephalopathy prevention
- Dextrose 10% IV · IV glucose solution (hypoglycaemia treatment)
- Andexanet Alfa (Ondexxya) · Factor Xa inhibitor reversal agent
Pathways
Decision support only. Always apply local guidelines and clinical judgement.