Deep Vein Thrombosis Flashcards
1
Q
DVT
A
Formation of a clot in a large vein
Usually the LE
2
Q
MC location for DVTs
A
Distal to popliteal vein
- Posterior tibial
3
Q
What location of DVT poses greatest risk for embolization to the lungs
A
Proximal to Popliteal vein
- Femoral v.
- Iliac v.
4
Q
Triad of RFs for venous clot formation
A
- Venous stasis - Immobility or proximal occlusion
- Damage to vascular endothelium
- Hypercoagulability state - inflammation, inherited, pregnancy, cancer, smoking
5
Q
Pertinent +ves that suggest DVT
A
Thrombotic risk factors
- Recent surgery
- Pregnancy
- Cancer
= Prolonged bedrest or long-distance plane travel
6
Q
SXS of DVT
A
- Asymptomatic
- U/l leg pain + swelling + warmth
7
Q
Dx of DVT
A
Venous duplex ultrasound –> non-compressible venous lumen
8
Q
What test can be used to exclude the diagnosis of DVT?
A
- Duplex ultrasound
- D-dimer
9
Q
Tx of proximal DVT or concomitant PE
A
Anticoagulation (Warfarin, Heparin, LMWH, Factor Xa inhibitors)
10
Q
Tx of DVT in pts. w/ high risk of bleeding or contraindication to anticoagulation
A
IVC filter–> Prevent PE
