Deep Vein Thrombosis

Question 1

severe complication of DVT known as

Answer 1

Phlegmasia cerulea dolens

Question 2

PCD presentation

Answer 2

sudden severe pain + swelling + cyanosis + edema + venous gangrene + compartment syndrome

Question 3

definition of proximal DVT

Answer 3

popliteal, femoral, or iliac veins

Question 4

definition of isolated DVT

Answer 4

located below the knee, and is confined to the calf veins (peroneal, posterior tibial, anterior tibial, and muscular veins)
*NO POPLITEAL INVOLVEMENT

Question 5

management of distal DVT

Answer 5

anticoagulate on a case by case basis (lower risk of embolization)

Question 6

massive DVT defined as

Answer 6

iliofemoral DVT OR phlegmasia cerulea dolens

Question 7

Indications for lytics

Answer 7

1) Phlegmasia cerulea dolens 2) massive iliofemoral DVT

3) fail therapeutic anticoagulation

Question 8

DVT sequelae

Answer 8

clot extension, recurrence, embolization, post-thrombotic (postphlebitic) syndrome, chronic thromboembolic pulmonary hypertension

Question 9

INR goal for warfarin for DVT treatment

Answer 9

2-3

Question 10

DVT treatment in pregnant women

Answer 10

LMW heparin

Question 11

post thrombotic syndrome presentation

Answer 11

leg pain, leg heaviness, vein dilation, edema, skin pigmentation, and venous ulcers

Question 12

contraindications to anticoagulation for proximal DVT

Answer 12

1) Active hemorrhaging
2) Platelet count <50K
3) Prior brain bleed

Question 13

Duration of anticoagulation for provoked DVT

Answer 13

3 months

Question 14

Duration of anticoagulation for pregnant women with VTE

Answer 14

At least 6 weeks postpartum + minimum duration of 3 months

Question 15

VTE treatment and obesity

Answer 15

• VTE treatment in obesity is understudied and thus NOACs should be used with caution
• this is defining morbid obesity as BMI greater than 40