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Risk Factors
Clinical Presentation
Testing and PT Exam
Management
Extra
100

Risk factors related to damage to veins include: 

childbirth, post op sepsis, surgery, trauma, LE fracture, varicose veins, previous hx of DVT

100

Common S/S include

warmth, redness, swelling, dull ache/tenderness or pain, prominence of superficial veins

100

This blood tests evaluates level of fibrin degradation

D-dimer
100

This type of medication prevents the thrombosis from enlarging and encourages attachment to the vessel wall

anticoagulant therapy

100

DVT prevention methods

(Let's go HAAAM)

hydration, anticoag, anti-embolism exercise, ambulation, mechanical compression

200

Risk factors related to stasis of blood flow include: 

prolonged bed rest, CHF/ MI, neurological disorders resulting in reduced msk activity, chronic VI, post op immobilization, prolonged air travel

200

Alongside malaise, pts with DVT may also experience one of these symptoms

chills or fever

200

This noninvasive test requires use of trandsducer to image the vessel of interest

compression or duplex ultrasound index
200

This type of treatment device to increase venous blood flow, decrease venous stasis, and reduce the swelling

compression stockings
200

Is DVT likely? A 34 y/o F is 7 weeks s/p TKA, with localized tenderness along deep venous system, and swelling of calf. 

Yes. (surgery w/in 12wks, tenderness deep venous system) (2 points)

300

Risk factors related to hypercoagulability include:

cancer, autoimmune d/o, increase level of coag factors (8, 11), increased hemocystiene levels

300
This gold standard testing involves injecting contrast into superficial pedal vein and can be used with MRI
venography (being replaced with ultrasound)
300
Are they at risk? A 67 y/o M recently started palliative care for their longstanding bone cancer with met to lung with diagnosis known chronic VI with hemosiderin staining as well as with a calf swelling of 4.5 cm R vs L

Yes. (active cancer palliative care, alt dx as likely as DVT, swelling >3cm)

400

Risk factors related to this age, this BMI status, a h/o of this metabolic disorder.

>60, >30 BMI (obese), DM

400

DVT risk? A 24 y/o F with previously document DVT but diagnosis of cellulitis and swelling in the RLE.

No. Alternative dx (-2), swelling is not specified
500

Are they at risk? A 42 y/o woman with a 10 year smoking history on birth control.

Yes. Hormonal status (birth control, pregnancy, hormone replacement therapy) & cigarette smoking