2 Days Of Severe in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#11452

SMLE Question #11452

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 32-year-old primigravida at 25 weeks’ gestation presents with 2 days of severe left calf pain and swelling that worsens with walking. The left calf is larger than the right with pitting edema to mid-calf. The skin is not erythematous or warm. Distal pulses are equal bilaterally. She has no chest pain, dyspnea, or syncope. She is otherwise well and has no recent surgery or trauma. What is the most appropriate primary diagnostic test?

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