Venous Thrombosis #1

What is it:

Etiology/ Incidences

inflammation = thrombis

Types

superficial vein Thrombosis (SVT)

Deep vein thrombosis (DVT)

venous Thromboembolism (VTE)

saphenous

iliac/femoral

from DVT to PE

endothelial damage

blood hypercoagulability

venous stasis

Patho

if partical block: cells stop formation

platelet aggregation = traped RBC, WBC, platelets = thrombis at valve = tail blocks lumen

Valves are malfunctioning/ muscles are inactive

Meds: cortico, tamoxifen, raloxifen, HT, PO contraceptive

injury stimulates platelet activation/ coagulation cascade

obese, pregnant, CHF, A-fib, immobility, long surgery, long trip w/o exercise

Direct: burn, trauma, cath, surgery

Indirect: chemo, DM, sepsis

Disorders: protein C/S def, nephrotic syndrome, anemia, polycethemia, cancers, hyperhomocysteinemia

smoking, woman >35 yrs, genetics

May disatach = embolism

becomes fully adherent if not disatached in 5-7 days