Vascular exam - DVT exam Flashcards
What might you look for on general inspection in a DVT examination?
- Well/unwell
- DVT risks
- Around the bed
What are DVT risk factors which you would look for on general inspection?
- Signs of malignancy
- Signs of immobility
- Signs of recent surgery
- Pregnancy
What might you look for on inpection on the legs in a DVT examination?
- Skin - colour change
- Ankle/leg swelling
- Signs of venous insufficiency
- Venous dilatation/tortuosity
What are signs of venous insufficiency you would look for on DVT examination?
- Venous eczema
- Haemosiderin deposits
- Lipodermatosclerosis
- Venous ulcers
What is the following?
Lippodermatosclerosis - inverted champagne bottle
What might you palpate for on the legs in a DVT exam?
- Temperature
- Tenderness
- Pitting oedema
- Calf diameters
- Pulses
How would you measure calf circumference in a DVT exam?
10 cm below tibial tuberosity
What difference in calf circumference would be regarded as significant on DVT exam?
>3cm
How would you complete a DVT examination?
- Full CVS exam
- Full resp exam
- Review obs, including oxygen sats and RR
What might you consider looking for in someone witha supected DVT?
Signs of a PE
What investigations might you consider doing in someone with a suspected DVT?
- Bloods - FBC, U+E’s, coag screen - starting anticoag
-
Wells score
- D-dimer - < 2
- Compression ultrasound - > 2 por +ve D-dimer
What test might you do if Wells score was > 2 or D-dimer was +ve?
Compression USS
