As you're working in the emergency room, you're asked to see a 62 year old female. She has a past medical history significant for morbid obesity (BMI 43). She fell three weeks ago and fractured her right tibia, which required a cast, and has been not been mobile since.  She developed shortness of breath two weeks ago which has worsened to the point where she can't even put her clothes on without becoming symptomatic.  Her right leg has also become increasingly swollen and painful. She denies fever, syncope, cough, hemoptysis, or chest pain. Vitals:BP: 132/84, Pulse: 118 bpm, Temp: 98.6 F, O2 sats: 86% on room air. 3L nasal canula was required to keep her sats at 96%.  On todays podcast, Zach is going to walk you through this patient case presentation. - We'd love to hear your feedback: team@medgeeks.co - Subscribe to our YouTube channel here: https://www.youtube.com/medgeeks - Follow us on Instagram here: https://www.instagram.com/medgeeksinc - Ace your exams: https://learn.medgeeks.co/ - This podcast should not be used in any legal capacity whatsoever, including but not limited to establishing standard of care in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the podcast, video, or blog.