deep vein thrombosis
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Deep vein thrombosis. Color duplex scan of DVT. Venogram shows DVT. Patient with suspect symptomatic Acute lower extremity DVT. negative. Venous duplex scan. Low clinical probability. observe. High clinical probability. positive. negative.

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PowerPoint Slideshow about ' Deep vein thrombosis' - serina-stephenson


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Presentation Transcript
slide4

Patient with suspect symptomatic

Acute lower extremity DVT

negative

Venous duplex scan

Low clinical probability

observe

High clinical probability

positive

negative

Evaluate coagulogram /thrombophilia/ malignancy

Repeat scan /

Venography

IVC filter

Anticoagulant therapy

contraindication

yes

No

pregnancy

LMWH

OPD

LMWH

+ warfarin

hospitalisation

UFH

Compression treatment

thrombophilia screening factor v leiden prot c s deficiency antithrombin iii deficiency
Thrombophilia screeningFactor V leiden, Prot C/S deficiency Antithrombin III deficiency
  • Idiopathic DVT < 50 years
  • Family history of DVT
  • Thrombosis in an unusual site
  • Recurrent DVT
recommendation for duration of warfarin
Recommendation for duration of warfarin
  • 3-6 months first DVT with reversible risk factors
  • At least 6 months for first idiopathic DVT
  • 12 months to lifelong for recurrent DVT or first DVT with irreversible risk factors

malignancy or thrombophilic state

catheter directed thrombolysis
Catheter directed-thrombolysis
  • Consider in: Acute< 10 days iliofemoral DVT.
  • Long-term benefit in preventing post-phebitic syndrome is unknown.
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