Deep vein thrombosis

Extract

• A normal D-dimer test result is enough to rule out deep vein thrombosis (DVT) when, based on clinical presentation, the probability of DVT is no more than moderate. However, if the likelihood of DVT is clinically high, diagnostic imaging studies are indicated.
• Ultrasonography diagnostics may be carried out in primary care usually during office hours. It is good to draw up care pathways locally.
• Before treatment is started (or 1 month after discontinuation of anticoagulant therapy), a blood sample should be collected for the selective analysis of blood clotting factors (see article Laboratory evaluation of thrombophilia Evaluation of thrombophilia1).
• Treatment aims to prevent PE and post-thrombotic syndrome.
• All risk factors, or their absence, must be recorded. They determine the duration of the anticoagulant therapy.
• The treatment of DVT that is below the level of the groin may usually be begun in primary care if the patient's general condition or associated diseases do not require hospital care.

Read full article of Deep vein thrombosis

Search terms

DVT, Dalteparin, Deep vein thrombosis, Enoxaparin, Haematology, Heparin, Low-Molecular-Weight, I80*, I82.88, INR target, Internal medicine, International Normalized Ratio, O22.3, O87.1, Phlebography, Postphlebitic Syndrome, Surgery, Thrombolytic Therapy, Thrombophilia, Vascular surgery, Venous Thrombosis, anticoagulant therapy, bleeding complication, compression ultrasonography, deep venous thrombosis, doppler stethoscope, heparin therapy, herparin prophylaxis, warfarin treatment