A 42-year-old woman comes to the office with pain, slight redness, and edema in the right calf. She had been placed on oral contraceptives for the first time 5 weeks previously by her gynecologist in order to provide contraception and to help regulate her menstrual cycle. The only other medication she is taking is 20 mg atorvastatin (Lipitor) daily for hypercholesterolemia. The patient said she noticed the calf pain three days previously, and thought she had pulled a muscle. The pain intensified, and by the third day, she noticed her lower leg appeared swollen and red. She also reported throbbing pain in her leg when standing. What do you suspect is causing the symptoms in her leg?

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The material on the PANCE and PANRE is organized by the NCCPA into two dimensions, as indicated in the content blueprint for the examination. - Organ systems and the diseases, disorders and medical assessments physician assistants encounter within those systems; and - The knowledge and skills physician assistants should exhibit when confronted with those diseases, disorders and assessments. Medical Content Categories % Allocation: Cardiovascular System 13% Dermatologic System 5% Endocrine System 7% Eyes, Ears, Nose, and Throat 7% Gastrointestinal System/Nutrition 9% Genitourinary... Show more

A 42-year-old woman comes to the office with pain, slight redness, and edema in the right calf. She had been placed on oral contraceptives for the first time 5 weeks previously by her gynecologist in order to provide contraception and to help regulate her menstrual cycle. The only other medication she is taking is 20 mg atorvastatin (Lipitor) daily for hypercholesterolemia. The patient said she noticed the calf pain three days previously, and thought she had pulled a muscle. The pain intensified, and by the third day, she noticed her lower leg appeared swollen and red. She also reported throbbing pain in her leg when standing. What do you suspect is causing the symptoms in her leg?