Case 93 – the beginning

Welcome to our new #TeamHaem case.

You are the acute medicine senior house officer working in ambulatory care. A GP has referred a 58 year old gentleman with left leg swelling and is concerned about deep vein thrombosis (DVT). He has never had a blood clot before. Blood tests reveal a positive d-dimer and an ultrasound scan confirms a clot in the femoral vein extending into the external iliac vein.

Questions:

  • What further information in the history is useful to know here?
  • What would you look for on examination?

 

Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #TeamHaem on Twitter for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

TeamHaem are not a position of authority.  It is an educational platform to allow discussion and learning.

About TeamHaem

Online education and discussion about all things haematological
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