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AKT7-107

Mr Johnson is a 52 year old man with a past medical history of colorectal cancer, for which he underwent a left hemicolectomy 3 weeks ago. He presents with a 1 day history of increasing dyspnoea and left-sided pleuritic chest pain. On examination, heart sounds are normal and there is a pleural rub audible. He also has unilateral right calf swelling.

On examination, blood pressure is 102/64 mmHg, his heart rate is 114 beats per minute and his respiratory rate is 30 breaths per minute.

Based on the likely diagnosis, what is the most appropriate initial management option?

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