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Tag Archives: VTE
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 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