Tag Archives: wells score

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 , , , , , , ,

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 , , , , , , , , ,

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 , , , , , , ,

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 , , , , , ,

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 , , , , ,

Case 23 – update 2

Thanks for all of your comments so far.  We have decided that she has a high Well’s score and therefore does not need a d-dimer in diagnostic work up.  However having a baseline d-dimer may be useful in later stages … Continue reading

Posted in Anticoagulation, Related to other specialities, Thrombosis | Tagged , , | Leave a comment