Follow-up

• Patient returns 4 months later with a painful, swollen calf and a palpable cord

• LE Doppler: DVT Popliteal Vein

• ROS: History of malar rash, photosensitivity, and arthralgias

• G2 P0 2 miscarriages at 24 and 16 weeks

• Family History: Thyroiditis and RA