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

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

Correct Answer:

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