Deep Vein Thrombosis

Question 1

What is a DVT?

Answer 1

• it is the formation of a blood clot or thrombus in a deep vein, partially or completely occluding the flow of blood
• more at risk in pregnancy due to gravid uterus on the inferior vena cava and pelvic veins, an increase in coagulation factors and a reduction in natural inhibitors to anticoagulation and decreased venous tone

Question 2

What are the signs and symptoms of a DVT?

Answer 2

• pain in area of clot
• unilateral and occasionally bilateral swelling
• redness or discolouration
• difficulty weight bearing on the affected leg
• low grade pyrexia
• lower abdominal pain if the pelvic veins are affected

Question 3

what are some of the complications?

Answer 3

• pulmonary embolus

- post-thrombotic syndrome

Question 4

What is the treatment?

Answer 4

• Doppler
• heparin
• oral anticoagulation initiated