Katie’s haemodynamic instability resolves following thrombolysis. She has a repeat echocardiogram which demonstrates no further evidence of right heart strain and repeat CTPA 3 days later whilst an inpatient demonstrates resolution/dissolution of the pulmonary artery embolus.

She then undergoes an MRI of her head which confirms an infarct in the right MCA territory. Her lupus anticoagulant test is positive and her medical team have arranged for her to be reviewed by the haemoatologists, stroke physicians and Cardiologists.

 

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Consider the questions below about the ongoing treatment in this case.