DVT Flashcards
Virchow has three compnents what are they?
Abnormal surface (Endothelial damage) Abnormal flow( stasis) Abnormal blood ( theombopphilia)
Most important risk factor related to stasis
Prolong Hospital stay
Fractures of lower limps and plevic
Oral contraceptive pills
Condition assosiated with high couglopathy? Susbect it in px with family history
Antitheompin deficency
Activated protienc c , s
Most common presentation of DVT is
Pain and swelling
Common site for DVT ?
Calf
What does phegmasia alba/cerulia doolunes indicate ?
Occlusion of deep iliofemoral venous system
Emergency can lead to venous gangaren
Having venous gangrene make you susbect?
Underlying neoplasm
What is the differential of DVT?
Baker cyst rupture
Politeal artery anyrusm
Calf muscle hematoma
Arterial ischemia
Why heprain is prefered over warfrain in DVT managment ?
1-Warfrain take time to start its action
2- cause skin necrosis since it stimulate the action of protien C and s ( natural anticougla)
How would you treat patient with DVT ? Mention pharma and non pharma
Pharma:
1- LMWH with warfrain
2-Thrompyltic
Non pharma 1-Elastic compression stocking 2-External pneumatic compression 3- IVC filter 4-venous thrompactomy
When venous thrompctomy indicated
Px with threatned gangrain and phlegmasia cerulia dolens
When thromplytic indicated ?
A- Thrombus in politilal vein
B- Thrombus in iliac vein
C- Thrombus in femoral vein
Thrombus in sural vein
B-Iliac vein
