Deep vein thrombosis resident survival guide: Difference between revisions
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{{familytree | | | C01 | | | | | | C02 | | | | | | | | | | | C03 |C01=low*|C02=Moderate*|C03=High*}} | {{familytree | | | C01 | | | | | | C02 | | | | | | | | | | | C03 |C01=low*|C02=Moderate*|C03=High*}} | ||
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{{Family tree| | | B01 | | | | | | B02 | | | | | | | | | | | B03 |}} | {{Family tree| | | B01 | | | | | | B02 | | | | | | | | | | | B03 |B01=D-Dimer|B02=D-Dimer|B03=U/S}} | ||
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{{Familytree | D01 | | D02 | | D03 | | D04 | | | | | | D05 | | | | D06 |}} | {{Familytree | D01 | | D02 | | D03 | | D04 | | | | | | D05 | | | | D06 |D01=Negative|D02=Positive|D03=Negative|D04=Positive|D05=Negative|D06=Positive}} | ||
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{{familytree | E01 | | E02 | | E03 | | E04 | | | | E05 | | E06 | | E07 |E01= | {{familytree | E01 | | E02 | | E03 | | E04 | | | | E05 | | E06 | | E07 |E01=No DVT|E02=U/S|E03=No DVT|E04=U/S|E05=Repeat in 7 days|E06=D-Dimer|E07=Treat}} | ||
{{Family tree| | | |,|-|^|-|.| | | |,|-|^|-|.| | | | | |,|-|^|-|-|.| | | | | |}} | {{Family tree| | | |,|-|^|-|.| | | |,|-|^|-|.| | | | | |,|-|^|-|-|.| | | | | |}} | ||
{{Family tree| | | F01 | | F02 | | F03 | | F04 | | | | F05 | | | F06 | | | | |}} | {{Family tree| | | F01 | | F02 | | F03 | | F04 | | | | F05 | | | F06 | | | | |F01=Negative|F02=Positive|F03=Negative|F04=Positive|F05=Negative|F06=Positive}} | ||
{{Family tree| | | |!| | | |!| | | |!| | | |!| | | | | |!| | | |,|^|-|.| | |}} | {{Family tree| | | |!| | | |!| | | |!| | | |!| | | | | |!| | | |,|^|-|.| | |}} | ||
{{Family tree| | | G01 | | G02 | | G03 | | G04 | | | | G05 | | G6| | G7| |}} | {{Family tree| | | G01 | | G02 | | G03 | | G04 | | | | G05 | | G6| | G7| |G01=No DVT|G02=Treat|G03=Repeat in 7 days|G04=Treat|G05=No DVT|G06=Repeat in 7 days|G07=U/S}} | ||
{{familytree/end}} | {{familytree/end}} | ||
Revision as of 22:32, 26 November 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Definition
Deep vein thrombosis (also known as deep venous thrombosis or DVT and colloquially referred to as economy class syndrome) is the formation of a blood clot ("thrombus") in a deep vein. The risk is significantly increased if the thrombus embolizes to the lungs, causing pulmonary embolism.
Causes
Life Threatening Causes
Common Causes
- long term immobility
- clotting disorders
- Cardiac failure
- Hip replacement
- Estrogen in OCP and HRT
- nephrotic syndrome
- Obesity
- Pregnancy
Diagnostic approach
| Pretest Probability of DVT Major points *Active cancer | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| low* | Moderate* | High* | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| D-Dimer | D-Dimer | U/S | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Negative | Positive | Negative | Positive | Negative | Positive | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No DVT | U/S | No DVT | U/S | Repeat in 7 days | D-Dimer | Treat | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Negative | Positive | Negative | Positive | Negative | Positive | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| No DVT | Treat | Repeat in 7 days | Treat | No DVT | {{{ G6}}} | {{{ G7}}} | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||