Venous thromboembolism in pregnancy Quiz: Ace Your Exams
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A 35-year-old pregnant woman, gravida 2, para 1, presents to the emergency department at 30 weeks’ gestation with sudden-onset dyspnea and pleuritic chest pain. There is no history of recent trauma, fever, cough, or vomiting. Medical history is notable for pre-eclampsia in the patient’s first pregnancy and an uncomplicated term vaginal birth. Current medication includes prenatal vitamins and low-dose aspirin for pre-eclampsia prevention. A family history of thrombophilia is noted. Temperature is 37.2°C (99°F), heart rate is 122 bpm, respiratory rate is 28/min, blood pressure is 94/66 mmHg, and oxygen saturation is 88% on room air. The patient is diaphoretic and appears anxious but is conversant. Physical examination reveals jugular venous distension and clear lung fields. Which of the following should be performed next?
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