Case 66 – update 3

Our patient is diagnosed with essential thrombocythaemia/thrombocytosis (JAK2 V617F positive) and is started on aspirin 75mg od.

 

At 28 weeks she has a painful swollen left leg. It is hot and tender. An ultrasound confirms a deep vein thrombosis.

 

Questions:

  • Why do most DVTs occur on the left side?
  • What would you treat with and what dose?
  • Would you monitor anti-Xa activity?

 

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