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 BOF 148

 

   

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BOF: 148

A 46 year old female presents with a history of a swollen painful left leg. 10 days prior to presentation she had been discharged from hospital after undergoing a femoral hernia repair. 6 years previously she had a deep vein thrombosis of her left leg following an abdominal hysterectomy.

On examination you note that her left lower limb is swollen, erythematous and the superficial veins are engorged.

Ultrasound confirms a popliteo-femoral deep venous thrombosis.

In this patient which one of the following would you recommend?

a)   Warfarin for 3 months

b)   Warfarin for 6 months

c)    Warfarin lifelong

d)   Low molecular weight heparin for 3 months

e)   Low molecular weight heparin for 6 months

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