nbme 4;2;46 - braindead99

[ArchivalUser]

46. A previously healthy 37-year-old woman comes to the physician because of left leg pain for 2 days. Medications include an oral contraceptive and calcium supplementation. Examination of the distal left lower extremity shows a subcutaneous, palpable, hard, cord-like structure within a 6x 1-cm, warm, erythematous areajust proximal to the ankle. There are scattered varicose veins in the lower extremities. Which of the following is the most appropriate next step in management?
O A) Application of warm compresses
O B) Use of compression stockings
O C) Oral dicloxacillin therapy
O D) Oral prednisone therapy
O E) Subcutaneous enoxaparin therapy

[ArchivalUser]

the key says a...and i say b....who is right

[ArchivalUser]

bump

[ArchivalUser]

The Dx is thromboflebitis, not varicose veins per se or DVT, so first you need warm compresses to swollen vein.

[ArchivalUser]

oh okay...i thought this was varicose..thanks neurosinapsis