22-year-old Man in Medicine / Internal Medicine — 22yo Man | Respiratory / Pulmonology | SMLE Q#17793

SMLE Question #17793

Medicine / Internal Medicine Respiratory / Pulmonology

Objective: OBJ-123

Last updated: February 2026
A 22-year-old man has 2 days of progressive swelling and pain of the entire left leg. Today, he developed pleuritic chest tightness and shortness of breath. He has no recent surgery, trauma, or medications. Examination shows pitting edema to the thigh and calf tenderness; the right leg is normal. ECG shows sinus tachycardia. What is the most appropriate management at this time?

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