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Deep Vein Thrombosis (Risk Factors (slow blood flow (limited movement,…
Deep Vein Thrombosis
Risk Factors
Injury to a vein
fractures
major surgery
abdomen
pelvis
hip
legs
slow blood flow
limited movement
sitting for a long period of time
paralysis
Increased estrogen
birth control pill
HRT
pregnancy and 6 weeks after giving birth
prior DVT/PE
family hisory
age
obesity
genetics
Pathophysiology
venous stasis
immobility
CHF
venous endothelial damage
trauma
IV Medications
hypercoagable state
pregnancy
oral contraceptives
HRT
accumulation of clotting factors and platelets
thrombus formation
redness
inflammation
CVI
post traumatic syndrome
Diagnosis
D-Dimer measurement
Doppler Ultrasonography
Contrast Venography
MRI
Treatment
Anticoagulation Theraphy
early ambulation after surgery
exercise
compression stocking
Epidemiology
estimated 900,000 people are affected each year in the US
One half of the affected have complications
One third of the affected will recur in 10 years
Clinical manifestations
swelling
redness
pain