Thrombosis syndromes (hypercoagulability) Quiz: Ace Your Exams

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A 45-year-old man is brought to the emergency department (ED) due to right leg pain. A week ago, the patient was hospitalized for deep vein thrombosis and consequently started on warfarin treatment with heparin bridge. The patient’s condition improved, and he was discharged. Upon return to the ED, the patient’s temperature is 37.6°C (99.7°F), pulse is 92/min, and blood pressure is 142/76 mmHg. On physical examination, the patient is in acute distress due to pain. Cardiopulmonary examination is within normal limits. A picture of the patient’s leg is shown below:  

A human leg shows a large, discolored area with blisters on the shin and lower calf, resting on a white sheet. The skin appears swollen and bruised.
 Retrieved from: Wikimedia Commons   

Which of the following findings is most likely to be found in this patient upon further evaluation?  

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