Crucial Exams

BCEN CEN Practice Question

A 45-year-old male who underwent lower-extremity orthopedic surgery 10 days ago presents to the emergency department with a swollen, painful right calf. Vital signs are: temperature 98.2 °F (36.8 °C), heart rate 84/min, blood pressure 128/78 mm Hg, respiratory rate 16/min, and SpO₂ 98 % on room air. He denies chest pain or shortness of breath. Based on this presentation, what is the most appropriate next step in management?

  • Order duplex (compression) ultrasonography of the affected leg.

  • Begin therapeutic anticoagulation to prevent clot propagation.

  • Elevate the extremity and apply a warm compress.

  • Obtain a D-dimer assay to rule out deep vein thrombosis.

BCEN CEN
Cardiovascular Emergencies
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