DVT/PE Flashcards
Well’s score for DVT
Active cancer
Paralysis, paresis, recent cast
Bedridden for > 3 days; major surgery < 12weeks
Tenderness along distribution of deep veins
Entire leg swelling
Unilateral calf swelling>3cm
Pitting edema
Collateral superficial nonvaricose veins
Alternative diagnosis at least as likely as DVT (-2)
Interpretation of well’s socre for DVT
0 or less - low likelihood
1-2: moderate
3 or more: high likelikhoood
Well’s score for PE:
- 0 - s/sx of DVT
- 0 - alternative dx less likely than PE
- 5 - HR > 100
- 5 - immobilization > 3 days; surgery within 4 weeks
- 5 - prior PE/DVT
- 0 - hemoptysis
- 0 - cancer
Interpretation of well’s score for pe
> 4, high likelihood
Differentials for dvt
Cellulitis
Lymphedema
Venous insufficiency
Baker’s cyst
Well’s score for DVT
Lung cancer
Entire leg swelling
Possible cellulitis
0
Well’s score for DVT: Paralyzed patient Bedridden for 1 week Pitting edema Possible venous insufficiency
1
Well’s score for DVT:
CABG last year
Unilateral calf swelling of 2.5cm
0
Bedridden for 5 days Tenderness along deep veins 📌 Entire leg swelling Pitting edema Unilateral calf swelling 2cm COPD
4
Well’s score for PE:
Entire leg swelling
HR 90
Immobilizatoin for 24 hours
3.0
Well’s core for PE:
Pitting edema
HR 110
4.5
Well’s core for PE:
HR 110
Immobilizatiotn for 5 days
Lung cancer
- 0
* doesn’t exceed 4
Well’s core for PE:
Tenderness along distribution of deep veins 📌
HR 99
Cabg within 2 weeks
4.5
Most common symptom for pE
Unexplained breathlessness
Most common symptom for DVT
Cramp or “charley horse” in the lower calf
