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Deep Vein Thrombosis (Risk Factors (sedentary lifestyle, obesity, surgery,…
Deep Vein Thrombosis
Risk Factors
sedentary lifestyle
obesity
surgery
birth
trauma
intravenous medications
extended travel
Pathophysiology
venous statsis
hyper coagulation
venous injury
tissue hypoxia due to poorly oxygenated blood
ineffective thrombomodulin and endothelial protein C receptor (EPCR
P-selectin draws immunologic cells that are comprised of tissue factor to the endothelium
Diagnosis
doppler
ultrasound
D-dimer
history and physical
Epidemology
occurs more in men than women
affects approximately 90,000 people in the U.S. per year
1/3 of people diagnosed with DVT will have another within 10 years
Clinical Presentation
asymmetrical swelling
pain
warmth to the extremity
Treatment
anticoagulants
modified diet
ambulation
sequential compression devices