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Deep Vein Thombosis (Epidemiology (Yearly incidence of 1 in every 1000…
Deep Vein Thombosis
Epidemiology
Yearly incidence of 1 in every 1000 adults
5-6 per every 1000 adults by age 80
15% higher in Black population
20% lower in Hispanic population
75% lower in Asians and Pacific Islanders
Increase prevalence in pregnant or postpartum
Clinical Presentation
Tenderness
Warmth
Erythema
Edematous leg(s)
Can be asymptomatic
Pain
Pathophysiology
Hypercoagulability
Endothelial Injury
Obstruction of Venous Blood Flow
Accumulation of Clotting Factors & Platelets in Veins
Treatment
Anti-Coagulant
Heparin IV
Coumadin
3 month or >
Avoid foods high in Vitamin K
SubQ Lovenox
Compression Stockings
Sequential Compression Devices
Thrombolytics- AKA Clot Buster
Ambulation
Diagnosis
History and Physical
Ultrsound
d-Dimer