Chief complaint: right leg deep vein thrombosis

History of type 2 diabetes mellitus and hypertension

Family history of mother dying from breast cancer at 62 years, father dying of a stroke at 71 years

Peripherally inserted central catheter right basilic vein

Peripheral IV left hand, heparin-locked

HEENT: Within defined limits (WDL)

Skin: Greenish-yellow ecchymosis to the forearms

Respiratory: Diminished breath sounds right upper lobe, coarse breath sounds throughout

Cardiovascular: Decreased pedal and posterior tibial pulses right leg. Palpable 2+ bilateral radial and left pedal pulses. Normal sinus rhythm.

Gastrointestinal: Denies nausea, last bowel movement yesterday. Soft, nontender abdomen.

Genitourinary: 20 mL/h urine output

Lactated ringers 50 mL/h infusing via PICC

Heparin 1300 units/h infusing via PICC

Ceftriaxone 1 g IV q12h

Levofloxacin 750 mg IV once per day