Deep Vein Thrombosis (DVT)

Question 1

What score is used?

Answer 1

Well’s (DVT) score

Question 2

Wells DVT score?

Answer 2

Active cancer (=1 pt)
Paralysis, plaster, paresis (=1 pt)
Immobilisation or surgery <4/52 (=1 pt)
Tenderness over deep veins (=1 pt)
Entire leg swollen (=1 pt)
Calf swelling >3cm difference (=1 pt)
Pitting oedema (=1 pt)
Collateral superficial veins (=1 pt)
Previously documented DVT (=1 pt)
DVT not most likely the diagnosis (= -2 pts)

Question 3

High risk score for DVT?

Answer 3

> =2

Question 4

Low risk score for DVT?

Answer 4

<= 1

Question 5

Mx for high risk DVT? (3)

Answer 5

US scan
D-Dimer
Anticoagulants e.g. LMWH

Question 6

Mx for low risk DVT?

Answer 6

D-Dimer:

If normal - consider alternative diagnosis
Abnormal - US scan (consider anticoagulants)

Question 7

Patient related risks of DVT?

Answer 7

Active cancer or cancer treatment
Age > 60 yrs
Dehydration 
Known thrombophillias
Obesity
One or more significant medical comorbidities 
Personal Hx/1st degree FHx
Using HRT
Using COCP
Varicose veins
Pregnancy/ <6 weeks post partum