A 74-Year-Old Man Recovering from Recent Ischemic Stroke Develops Right

question 66

Multiple Choice

A 74-year-old man recovering from recent ischemic stroke develops right ankle and calf swelling.  He has mild, persistent right-sided hemiplegia and has been receiving daily physical therapy for the last week.  Compression ultrasonography confirms right-sided popliteal vein thrombosis.  The patient is started on a therapeutic dose of enoxaparin twice daily.
When is it appropriate for this patient to resume mobilization and physical therapy?

• A)3-5 days after starting anticoagulation
• B)After inferior vena cava filter placement
• C)After transition to oral anticoagulant
• D)After ultrasound confirms resolution of the thrombus
• E)Within 24 hours of starting enoxaparin

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Definitions:

Chromatin

Network of DNA strands and associated proteins observed within a nucleus of a cell.

Surface-Area-To-Volume Ratios

A mathematical ratio that describes the amount of surface area per unit volume of an object or organism, influencing heat loss, gas exchange, and nutrient uptake.

Nucleolus

A prominent structure within the nucleus of a cell, primarily involved in ribosomal RNA synthesis and ribosome biogenesis.

RNA

Ribonucleic acid, a molecular substance present in cells responsible for carrying out the genetic instructions for protein synthesis.