Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Family Practice


Dr. Elyse Watkins


Deep venous thrombosis (DVT) of the extremities is a common type of venous thromboembolism (VTE) that can develop from a variety of causes, both provoked and unprovoked. Some patients will only need repeat ultrasound surveillance without anticoagulant treatment while others may need hospitalization, parenteral anticoagulants and/or thrombolysis. This case report focuses on a patient with a provoked distal DVT that was managed solely by the primary care provider (PCP) in a rural clinic-setting using pre-test-probability scoring, point-of-care testing (POCT), direct oral anticoagulants (DOACs), and outpatient diagnostic imaging. It demonstrates cost containment and time-saving strategies that benefits both patient and provider.


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