Thrombus in Transition

A 62-year-old woman status post left hip replacement approximately two months prior to presentation arrived in the ED with chest pain and SOB. The CT scan confirmed pulmonary embolus involving the right PA. Ultrasound confirmed extensive DVT in the left lower extremity. She was neurologically and hemodynamically stable with normal BP and HR with oxygen saturation >92% on 2 L NC. Troponin was mildly abnormal.

What would be your next step in managing this patient?

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