644249
Deep
Venous
Thrombosis
- Pathophysiology
- Blood clot develops in deep viens
- Embolization and postphlebitic syndrome
- Occurs primarily in lower extremities
- Blood clot develops in deep viens
- Epidemiology
- Hospital based: 100x likely
- VTE: 1/3 will die in 30 days
- 28 day DVT fatality rate is 9%
- Higher rate among Caucasians and African Americans
- Hospital based: 100x likely
- Clinical Presentation
- Inflammation in tissue
- Pain and Redness
- Edema to Lower Extremity
- Inflammation in tissue
- Diagnosis
- Wells Criteria Scoring
- Patient History
- Recent Surgery
- Immobilization
- Pregnancy
- Recent Surgery
- Physical Exam
- Homan's Sign
- Coilateral Viens Swelling
- Homan's Sign
- Lab tests: D-Dimer, CBC, PT/INR
- Wells Criteria Scoring
- Treatment
- Heparin IV Drip
- Lovenox
- Warfarin for Maintenance
- Rivaroxaban for cetain surgeries
- Heparin IV Drip
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