Question

A 68-year-old post-operative day 2 after knee arthroplasty develops dyspnea and pleuritic pain. CTA shows segmental PE. Hemodynamically stable, no cancer, normal renal function. Best anticoagulant?

Accepted Answer

Apixaban

Answer

Warfarin with LMWH bridge

Answer

Unfractionated heparin drip then warfarin

Answer

No anticoagulation; IVC filter

Answer

Aspirin alone

Practice question

A 68-year-old post-operative day 2 after knee arthroplasty develops dyspnea and pleuritic pain. CTA shows segmental PE. Hemodynamically stable, no cancer, normal renal function. Best anticoagulant?