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Venous thrombosis By Dr. Sabir M. Ameen
Predisposing factors ,[object Object],[object Object],[object Object]
Pred. fact. ,[object Object],[object Object],[object Object],[object Object]
Venous thrombosis ,[object Object],[object Object]
Wells Criteria
Wells ,[object Object],[object Object],[object Object]
Special Investigations Test Advantages Disadvantages Contrast “ Gold standard” Invasive Venography Sensitivity  ~  100% Requires specialized equipment   Easily interpretable Rare, but serious side effects MRI Highly accurate Expensive   Safe during pregnancy Not readily available   Non-invasive   CT Non-invasive Limited data   Can diagnose pelvic  DVT     Concurrently exclude PE   Ultrasonography Highly accurate Not accurate for calf or pelvic  DVT   Non-invasive Complete study is time consuming D-Dimer Rapid laboratory study Only used to rule-out  DVT   Can aide in exclusion of  DVT  
Management of thromboembolism ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Indications of warfarin Rx ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Contraindications to anticoagulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Heparin ,[object Object],[object Object]
Heparin…cont. ,[object Object],[object Object]
Heparin…cont. ,[object Object]
Warfarin ,[object Object],[object Object]
Warfarin..cont. ,[object Object]
Prevention of venous thrombosis ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Medicine 5th year, 11th lecture/part one (Dr. Sabir)

  • 1. Venous thrombosis By Dr. Sabir M. Ameen
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  • 7. Special Investigations Test Advantages Disadvantages Contrast “ Gold standard” Invasive Venography Sensitivity ~ 100% Requires specialized equipment   Easily interpretable Rare, but serious side effects MRI Highly accurate Expensive   Safe during pregnancy Not readily available   Non-invasive   CT Non-invasive Limited data   Can diagnose pelvic DVT     Concurrently exclude PE   Ultrasonography Highly accurate Not accurate for calf or pelvic DVT   Non-invasive Complete study is time consuming D-Dimer Rapid laboratory study Only used to rule-out DVT   Can aide in exclusion of DVT  
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