24.
A patient has right leg pain and displays redness and swelling throughout the foot and ankle distal to the knee that has developed over the last 3 days.  The patient reports no trauma and complains of a deep ache in the calf musculature.  What is the MOST appropriate initial treatment?

1. Refer to physician to rule out deep vein thrombosis.
2. Elevate the lower extremity and apply an ice pack for 15-20 minutes.
3. Instruct the patient on range of motion exercises and begin a home exercise program.
4. Perform manual soft tissue mobilization to decrease the swelling.

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