Case 139 – short case 1 update 3

After careful consideration you opted for weight based LMWH due to concerns about Thrombocytopenia and he has a bladder cancer with history of haematuria.

A month later his platelet count has recovered but he has developed new dyspnoea. He is found to have a new segmental PE on CTPA. He has been on LMWH weight based with normal renal function eGFR >90. He has no active bleeding and his Hb has improved to 111 following Iron replacement.

What would you do now?

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