Venous thrombosis: The Daily PANCE Blueprint

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Venous thrombosis: The Daily PANCE Blueprint

A 52-year-old woman with a history of hypertension presents to the clinic with leg swelling and pain that started three days ago after a long car ride. She is currently not on any medication. Her vital signs are stable, and physical examination reveals a swollen, red left calf with tenderness along the distribution of the deep veins. Ultrasound confirms the presence of a deep vein thrombosis (DVT). Which of the following is the preferred anticoagulant for this patient?

A. Warfarin
B. Rivaroxaban
C. Heparin
D. Dabigatran
E. Fondaparinux

Answer and topic summary

The answer is B. Rivaroxaban (Xarelto)

Rivaroxaban is a direct oral anticoagulant (DOAC) that is often preferred for the treatment of uncomplicated DVT due to its ease of use (oral administration), predictable pharmacokinetics, and no requirement for routine blood monitoring. It is recommended as a first-line treatment in many guidelines.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Cardiology ⇒ Vascular Disease ⇒ Venous thrombosis

Also covered as part of the General Surgery PAEA EOR topic list

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