SOLVED1927
S.G., a 76-year-old male (92 kg), presents to the emergency department with swelling of his entire right lower extremity, erythema, and soreness of his right calf. He had knee replacement surgery two weeks ago and denies shortness of breath, cough, or chest pain. Medical history: â— Deep vein thrombosis (DVT) after leg fracture at age 24 â— Hypertension â— BPH Laboratory values: â— Hematocrit 49.2% (normal 45%-52%) â— Prothrombin time (PT) 10.8 seconds (INR 1.0) â— aPTT 23.6 seconds (normal 24-36) â— Platelet count 255,000/mm3 (normal 150,000-300,000) â— Creatinine clearance (CrCl) 74 mL/minute Current medications: â— Lisinopril 20mg orally once daily â— Hydrochlorothiazide 25mg orally once daily â— Tamsulosin 0.4mg orally at bedtime 1. Which risk level most accurately reflects the clinical probability of this patient having a DVT? a. Low b. Moderate c. High d. Very High
SCIENCE
HEALTH SCIENCE
NURSING
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