MCH – Case 3

•Scarlet Emboly presents to your clinic for left leg concerns.

•She is a 40 y/o female with no significant past medical history.  About a week ago she struck her leg against the coffee table.  The pain was brief and she didn’t think much about it; however, she’s noticed swelling of that leg, sensation of fullness, and some color changes.  For these reasons, she presented to the clinic for assessment.

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•Exam shows:

•Vitals:  Temp 98.6F; BP 120/80; HR 80; RR 16; Wt 100kg

•Left leg is red, swollen, and somewhat tender.  The right leg is largely unremarkable.

•Her most recent labs were unremarkable, including renal function (creatinine)

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•You suspect a DVT and send her for a stat US.  The result comes back to you quickly, and confirms a DVT of the left leg.

•You would like to start treatment for her condition with Eliquis (apixaban), but wish to double check the regimen.

•You go to Drugs.com

•Search for Eliquis (or apixaban)

•Click on dosage

•Review the recommendations

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•What is the appropriate Eliquis regimen for Scarlet

•A) Eliquis 2.5mg BID

•B) Eliquis 5mg BID

•C) Eliquis 10mg BID for 7 days, then 5mg BID thereafter

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