A 44-year-old woman presents with unilateral left calf swelling and pain 5 days after pelvic surgery. Vital signs: BP 118/76 mmHg, HR 98/min, RR 18/min, SpO2 98% on room air, temperature 37.2°C. She denies chest pain or dyspnea. Duplex ultrasonography reveals a thrombus in the popliteal vein with normal compression. D-dimer is elevated at 2.8 μg/mL. Which of the following represents the strongest immediate concern related to this condition?

  1. A)Development of giant cell arteritis
  2. B)Subarachnoid hemorrhage
  3. C)Embolization to the pulmonary arterial circulationGABARITO
  4. D)Rupture of the aortic arch
  5. E)Coronary vasospasm

Explicação

Deep venous thrombosis can embolize to the lungs and cause pulmonary embolism, a major source of postoperative morbidity and mortality. Recent surgery contributes to venous stasis and hypercoagulability, two elements of Virchow triad. Unilateral swelling and c... Ver explicação completa e trilha adaptativa →

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