Sudden Severe Dyspnea in Obstetrics & Gynecology — 29yo Woman | General Gynecology | SMLE Q#546
SMLE Question #546
Obstetrics & Gynecology
General Gynecology
Last updated: February 2026
A 29-year-old woman at 28 weeks’ gestation presents with sudden severe dyspnea and pleuritic chest pain. She was started 8 hours ago on enoxaparin for a newly diagnosed left lower limb deep vein thrombosis. She is anxious, tachypneic, and alert. CT pulmonary angiography shows a pulmonary embolism without right ventricular strain. What is the most appropriate next step in management?
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