IM - DVT

Card Set Information

Author:
TerryZ
ID:
251448
Filename:
IM - DVT
Updated:
2013-12-07 10:34:34
Tags:
internal medicine IM deep vein thrombosis DVT
Folders:
IM
Description:
Internal medicine - deep vein thrombosis
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user TerryZ on FreezingBlue Flashcards. What would you like to do?


  1. DVT - cause
    • Virchow's triad
    •   Endothelial inj
    •   Venous stasis
    •   HCoag
  2. DVT - RF
    • Age: >50
    • Malign: .
    • Prior: h/o DVT, PE, varicose veins
    • Hered: factV Leiden,prot C/S,~thromIII
    • Immob: prolonged
    • Card dz: CHF
    • Obese: .
    • Surg: major, esp pelvis
    • Trauma: major
    • Preg: estrogen
  3. DVT - S/Sx
    • Subtle
    • Classic: 50% Sn&Sp
    •   LE P/Sw: /depend,walk, elev,rest
    •   Homans: calf P on ankle dorsification
    •   Cord: palpable
    •   F: .
  4. DVT - Dx
    • Doppler/duplex: oper dep, proximal
    • Venogr: /accur calf vs, invasive
    • Imped plethysm: proximal, /false+
    • D-dimer: 95%Sn,50%Sp; r/o DVTs
  5. DVT - Dx interp
    • DVT      Doppler    Recomm
    • prob    US result     action
    • int-hi        +         anticoag
    • _              ?        @2-3d/2w
    • lo-int         -         obs; @2d
  6. DVT - Tx
    • ~coag: hep bolus->infus} PTT 1.5-2x
    •            warfarin 3-6 mo} INR 2-3x
    •            cont hep until INR therap 48h
    • thrombolytic: strepto/urokinase, t-PA
    •   /clot res: //PEs, ?hemodyn, R-HF, ~CI
    • IVC filt: /risk, CI other forms, only PE
    • Post surg
    •   mech: ^leg,compr stockng,ambul,SCD
    •   pharm: hep/lmwh

What would you like to do?

Home > Flashcards > Print Preview