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Tag Archives: DVT
Case 93 – summary
This case highlighted a number of issues in the management of VTE. 1) The investigation of a patient with newly diagnosed DVT One of the most useful parts in the history taking is the identification of a provoking factor. We … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, compression hosiery, DVT, IVC filter, recurrent DVT, surgery, thrombosis, VTE
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Case 93 – update 4
Our patient has had one left leg DVT which was treated with rivaroxaban. He had no symptoms of malignancy. Two months later he presents again with increased leg swelling and pain and has the thrombosis has increased compared to previous. … Continue reading
Case 93 – update 3
Our patient has his d-dimer checked which is positive and has an ultrasound scan of the left leg which has confirmed a clot. On review of the images the clot is more extensive that previously. This combined with the clinical … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, cancer, DVT, surgery, thrombosis
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Case 93 – update 2
We discussed what anticoagulant to start in our patient with a newly diagnosed DVT. There are a number of options and the main ones will include: LMWH then warfarin LWMH then dabigatran Rivaroxaban Apixaban LMWH then edoxaban Various factors … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, compression hosiery, DVT, thrombosis
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Case 93 – update 1
Our patient has a confirmed proximal DVT and we recognised the important points in the clinical evaluation by looking for provoking factors: Malignancy Family history Periods of immobility Recent surgery or hospital stays Hormonal therapy or pregnancy Nephrotic syndrome Autoimmune … Continue reading
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 … Continue reading
Case 58 – summary
We covered a lot of issues this week. Here is a link to the case on Storify: https://storify.com/TeamHaem/case-58-teamhaem-does-dvt Our patient was a 37 year old female with left leg swelling. She had no major medical problems and was on no … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, coagulation, d-dimer, DVT, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 4
Our patient has a confirmed left sided DVT. Prior to initiation of anticoagulation a clotting screen is performed. It shows: PT 12s (11-14) APTT 49s (35-40) Fibrinogen 5.5g/L (1.5-4) d-dimer 990ng/mL (<500) Questions How do you interpret the results? … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, Antiphospholipid, d-dimer, DRVVT, DVT, Lupus anticoagulant, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 3
Our patient has a swollen left leg and an intermediate Wells’ score but a positive d-dimer result. She goes on to have an ultrasound of her lower limb. There is debate on whether to do a full leg ultrasound scan … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, d-dimer, DVT, malignancy, Swollen leg, ultrasound, VTE, wells score
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Case 58- update 2
Our patient has a possible DVT. She has a painful, swollen left leg with some mild erythema. The Wells’ score is 1 and therefore a d-dimer test is required. Had the score been 2 it would be reasonable to move to … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged anticoagulation, d-dimer, DVT, Swollen leg, ultrasound, VTE, wells score
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Case 58 – update 1
Thanks for the contributions so far. We have established that our patient is a 37 year old female and has presented to her general practitioner with a swollen left leg. She had a recent car journey of 90 minutes … Continue reading
Posted in Anticoagulation, Thrombosis
Tagged d-dimer, DVT, pregnancy, Swollen leg, VTE, wells score
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Case 58 – the beginning
Welcome back to TeamHaem. Please read the case below then make some comments/answer the questions on Twitter using #TeamHaem. A 37 year old female presents to her general practitioner with a swollen leg which has gotten worse over the … Continue reading
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