Thromboembolic Disease

Question 1

Wells rule for DVT

Answer 1

1 point for each

1. Active cancer
2. Paralysis, bed ridden, immobility
3. Bedridden for > 3 days, major surgery in 12 weeks
4. Tenderness along DVT areas
5. Calf swelling (>3mm asymmetry)
6. Asymmetric pitting edema
7. Collateral superficial veins
8. Prior DVT

Question 2

Wells rule for DVT scoring

Answer 2

3 or more = high risk

1-2 = intermediate risk

0 or negative = low risk

Question 3

12 Exclusion criteria for thrombolytics

Answer 3

1. Intracranial hemorrhage on CT or history ever
2. Clinical presentation of subarachnoid hemorrhage
3. Neurosurgery, head trauma, or stroke in past 3 months
4. Uncontrolled HTN (185/110)
5. Known intracranial AVMs, neoplasm, or aneurysm
6. Active internal bleeding
7. Suspected/confirmed endocarditis
8. Platelets < 100k
9. Heparin in the last 48 hours with PTT elevated
10. Current use of oral anticoagulatnts
11. INR > 1.7
12. Glucose < 50