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Wells Score for Deep Vein Thrombosis (2-Level)

Estimates the pre-test probability of DVT to guide further investigation.

Active cancer (treatment ongoing or within 6 months, or palliative)?
Paralysis, paresis, or recent plaster immobilisation of the legs?
Recently bedridden >3 days OR major surgery <12 weeks (general/regional anaesthesia)?
Localised tenderness along the distribution of the deep venous system?
Entire leg swollen?
Calf swelling >3 cm compared to the other leg (measured 10 cm below tibial tuberosity)?
Pitting oedema confined to the symptomatic leg?
Collateral superficial veins (non-varicose)?
Previously documented DVT?
Alternative diagnosis at least as likely as DVT?
0
Wells DVT Score/ 9
DVT Unlikely
Score <2: DVT unlikely. D-dimer testing can be used to safely rule out DVT if negative.

Reference: Wells PS et al. Lancet 1997

Medical Disclaimer: This calculator is a clinical decision support tool for qualified healthcare professionals. It does not replace clinical judgement. Always interpret results in the full clinical context. Reference: Wells PS et al. Lancet 1997.