2 Days Of Painful in Medicine / Internal Medicine — 70yo Man | Nephrology | SMLE Q#11934
SMLE Question #11934
Medicine / Internal Medicine
Nephrology
Objective: OBJ-188
Last updated: February 2026
A 70-year-old man presents with 2 days of painful swelling of the left leg and is confirmed to have a proximal deep vein thrombosis. He is receiving a therapeutic unfractionated heparin infusion. His history includes type 2 diabetes mellitus, hypertension, and chronic systolic heart failure (NYHA class II). Regular medications include insulin, enalapril, and furosemide. Routine blood tests show hyperkalemia, and his ECG shows no features of hyperkalemia. Which medication should be discontinued now to address his current abnormality?
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