system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 30-year-old woman presents to her primary care provider with blood in her urine and pain in her left flank. She has a 5-year history of polycystic ovarian syndrome managed with oral contraceptives and metformin. She is single and is not sexually active and denies a history of kidney stones or abdominal trauma. She has a 15-pack-year smoking history but denies the use of other substances. Her family history is significant for fatal lung cancer in her father at age 50, who also smoked, and recently diagnosed bladder cancer in her 45-year-old brother, who never smoked. On review of systems, she denies weight loss, fever, fatigue, paresthesia, increased pain with urination, or excessive bleeding or easy bruising. She is admitted to the hospital for a workup and observation. Her vital signs and physical exam are within normal limits. A urine pregnancy test is negative. PT is 14 sec and PTT is 20 sec. The rest of the laboratory results including von Willebrand factor activity and lupus anticoagulant panel are pending. A CT angiogram is ordered and is shown in the picture. What is indicated at this time to prevent a potential sequela of this patient’s condition?
assistant
Administer heparin