Sudden Pleuritic Chest Pain in Medicine / Internal Medicine — 58yo Man | Respiratory / Pulmonology | SMLE Q#18409
SMLE Question #18409
Medicine / Internal Medicine
Respiratory / Pulmonology
Objective: OBJ-PE-INIT-001
Last updated: February 2026
A 58-year-old man presents with sudden pleuritic chest pain and dyspnea. CT pulmonary angiography confirms acute pulmonary embolism. He is admitted to ICU and remains alert without hypotension. He has no active bleeding or other contraindication to anticoagulation. What should be given first as initial management?
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