Deep vein thrombosis

Extract

• Assessment of pretest probability forms the cornerstone of diagnosis, defining the ranges for interpreting D-dimer values, for instance.
• A D-dimer test result below the cut-off limit 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.
• Diagnostics ultrasonography can in most cases be carried out in primary care during office hours.
• The aim of treatment is to prevent pulmonary embolism (PE) and post-thrombotic syndrome.
• All risk factors for thrombosis, 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.

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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, d-dimer, deep venous thrombosis, dimer, doppler stethoscope, heparin therapy, herparin prophylaxis, warfarin treatment