<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 52-year-old man presents to the emergency department with sudden-onset dyspnea, tachycardia, tachypnea, and chest pain. He works as a long-haul truck driver, and he informs you that he recently returned to the west coast from a trip to Tennessee. His medical history is significant for gout, hypertension, hypercholesterolemia, diabetes mellitus type 2, and mild intellectual disability. He currently smokes 2 packs of cigarettesday, drinks a 6-pack of beerday, and he endorses a past history of injection drug use but currently denies any illicit drug use. The vital signs include: temperature 36.7C 98.0F, blood pressure 12674 mm Hg, heart rate 87min, and respiratory rate 23min. His physical examination shows minimal bibasilar rales, but otherwise clear lungs on auscultation, grade 26 holosystolic murmur, and a benign abdominal physical examination. A computed tomography angiography CTA demonstrates a segmental pulmonary embolism PE. Which of the following is the most appropriate treatment plan for this patient?? A: Initiate warfarin anticoagulation, B: Initiate heparin, C: Initiate heparin with a bridge to warfarin, D: Tissue plasminogen activator tPA, E: Consult interventional radiologist IR for IVC filter placement,  <response>: This is a clinical vignette about a 52-year-old man with multiple medical comorbidities who presents with acute symptoms concerning for pulmonary embolism. A CTA confirms the diagnosis of a segmental PE. The key factors to consider in choosing the appropriate management are:- He has a confirmed PE, so anticoagulation is indicated. - As this is an acute PE, rapid anticoagulation with parenteral agents heparin, LMWH is preferred over oral warfarin alone.- Thrombolytics like tPA are reserved for massive PEs with hemodynamic instability, which is not described here.- IVC filters are indicated for patients who cannot be anticoagulated or have recurrent PEs despite therapeutic anticoagulation. This is not the case here.C: Initiate heparin with a bridge to warfarin 