ABSTRACT

You are reviewing patients in the medical admissions unit. Your next patient has been referred by her general practitioner with the following letter. Please read the letter and then review the patient.

Dear Doctor,

Re: Ms Josephine Wilcox

Age: 46 years

This pleasant secretary presented to clinic today with pain and swelling in her left calf. I’m concerned that this may be a DVT. I would be grateful if you would review her and advise on the need for anticoagulation. Your help is greatly appreciated.

Yours sincerely