DVT complete diagnostic approach resident survival guide: Difference between revisions

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❑ [[Erythema]] <br>
❑ [[Erythema]] <br>
❑ Warmth<br></div>}}
❑ Warmth<br></div>}}
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{{familytree  | | | | | | | A02 | | A02=<div style="float: left; text-align: left; width: 35em; padding:1em;"> '''Identify if symptoms of pulmonary embolism (PE) are present:''' <br>
❑ [[Dyspnea]] (78–81%)<ref name="pmid24182642">{{cite journal| author=Cohen AT, Dobromirski M, Gurwith MM| title=Managing pulmonary embolism from presentation to extended treatment. | journal=Thromb Res | year= 2014 | volume= 133 | issue= 2 | pages= 139-48 | pmid=24182642 | doi=10.1016/j.thromres.2013.09.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24182642  }} </ref> <br>
❑ [[Pleuritic chest pain]] (39–56%)<ref name="pmid24182642">{{cite journal| author=Cohen AT, Dobromirski M, Gurwith MM| title=Managing pulmonary embolism from presentation to extended treatment. | journal=Thromb Res | year= 2014 | volume= 133 | issue= 2 | pages= 139-48 | pmid=24182642 | doi=10.1016/j.thromres.2013.09.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24182642  }} </ref>  <br>
❑ [[Fainting]] (22–26%)<ref name="pmid24182642">{{cite journal| author=Cohen AT, Dobromirski M, Gurwith MM| title=Managing pulmonary embolism from presentation to extended treatment. | journal=Thromb Res | year= 2014 | volume= 133 | issue= 2 | pages= 139-48 | pmid=24182642 | doi=10.1016/j.thromres.2013.09.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24182642  }} </ref> <br>
❑ [[Cough]] (20%)<ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref><br>
❑ [[Substernal chest pain]] (12%)<ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref><br>
❑ [[Hemoptysis]] (11%)<ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref><br>
❑ [[Wheezing]] <br>
❑ [[Cyanosis]] (11%)<ref name="pmid24182642">{{cite journal| author=Cohen AT, Dobromirski M, Gurwith MM| title=Managing pulmonary embolism from presentation to extended treatment. | journal=Thromb Res | year= 2014 | volume= 133 | issue= 2 | pages= 139-48 | pmid=24182642 | doi=10.1016/j.thromres.2013.09.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24182642  }} </ref> <br>
❑ [[Fever]] (7%)<ref name="pmid24182642">{{cite journal| author=Cohen AT, Dobromirski M, Gurwith MM| title=Managing pulmonary embolism from presentation to extended treatment. | journal=Thromb Res | year= 2014 | volume= 133 | issue= 2 | pages= 139-48 | pmid=24182642 | doi=10.1016/j.thromres.2013.09.040 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24182642  }} </ref> <br>
❑ Symptoms suggestive of [[shock]] (in case of massive PE)
:❑ [[Altered mental status]]
:❑ [[Cold extremities]]
:❑ [[Cyanosis]]
:❑ [[Oliguria]]
</div>}}
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{{familytree  | | | | | | | B01 | |  B01=
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❑ [[Heart failure]] <br>
❑ [[Heart failure]] <br>
❑ Immobility<br>
❑ Immobility<br>
❑ Recent bed rest <br>
❑ Recent cast of lower extremities <br>
❑ [[Obesity]]<br>
❑ [[Obesity]]<br>
❑ [[Malignancy]]<br>
Active [[malignancy]]<br>
❑ Treatment for [[malignancy]] within the last 6 months<br>
❑ [[Stroke]] <br>
❑ [[Stroke]] <br>
❑ Paralysis <br>
❑ Paresis <br>
❑ [[Oral contraceptive]] or [[hormone replacement therapy]]
❑ [[Oral contraceptive]] or [[hormone replacement therapy]]
----
----
'''Obtain a detailed history:''' <br>
'''Elicit a detailed history:'''<br><br>
❑ Previous episode of [[VTE]]
❑ '''Risk factors'''<ref name="pmid12814980">{{cite journal| author=Anderson FA, Spencer FA| title=Risk factors for venous thromboembolism. | journal=Circulation | year= 2003 | volume= 107 | issue= 23 Suppl 1 | pages= I9-16 | pmid=12814980 | doi=10.1161/01.CIR.0000078469.07362.E6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12814980  }} </ref><ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref>
:[[Chemotherapy]]<br>
:❑ [[Chronic heart failure]]<br>
:❑ [[Respiratory failure]]<br>
:❑ [[Hormone replacement therapy]]<br>
:❑ [[Cancer]]<br>
:❑ [[Oral contraceptive pills]] <br>
:❑ [[Stroke]] <br>
:❑ [[Pregnancy]] <br>
:❑ [[Postpartum]] <br>
:❑ Prior history of [[VTE]] <br>
:❑ [[Thrombophilia]] <br>
:❑ Advanced [[age]] <br>
:❑ [[Laparoscopic surgery]] <br>
:❑ Prepartum <br>
:❑ [[Obesity]] <br>
:❑ [[Varicose veins]]
❑ '''Triggers'''<ref name="pmid12814980">{{cite journal| author=Anderson FA, Spencer FA| title=Risk factors for venous thromboembolism. | journal=Circulation | year= 2003 | volume= 107 | issue= 23 Suppl 1 | pages= I9-16 | pmid=12814980 | doi=10.1161/01.CIR.0000078469.07362.E6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12814980  }} </ref><ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref>
:❑ [[Bone fracture]] ([[hip]] or [[leg]]) <br>
:❑ [[Hip replacement surgery]]<br>
:❑ Knee replacement surgery<br>
:❑ [[General surgery|Major general surgery]]<br>
:❑ [[Trauma|Significant trauma]]<br>
:❑ [[Spinal cord injury]]<br>
:❑ Athroscopic knee surgery<br>
:❑ [[Central venous line]]s<br>
:❑ [[Chemotherapy]]<br>
:❑ Bed rest for more than 3 days <br>
:❑ Prolonged car or air travel <br>
:❑ [[Laparoscopic surgery]] <br>
:❑ Prepartum <br>
❑ '''Previous episode of [[VTE]]'''
:❑ Age
:❑ Age
:❑ Location
:❑ Location
❑ Past medical history:
'''Past medical history of diseases associated with hyperviscosity'''
:❑ [[Atherosclerosis]]
:❑ [[Atherosclerosis]]
:❑ [[Collagen vascular disease]]
:❑ [[Collagen vascular disease]]
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:❑ [[Myeloproliferative disease]]
:❑ [[Myeloproliferative disease]]
:❑ [[Nephrotic syndrome]]
:❑ [[Nephrotic syndrome]]
❑ Abortion at second or third trimester of [[pregnancy]] (suggestive of an inherited [[thrombophilia]] or [[APS]])<br>
:[[Autoimmune diseases]]
❑ Drugs that may induce [[APS]]
:❑[[Polycythemia vera]]
:❑ [[Hyperhomocysteinemia]]
:❑ [[Paroxysmal nocturnal hemoglobinuria]]
:❑ [[Waldenstrom macroglobulinemia]]
:❑ [[Multiple myeloma]]
❑ '''History of [[thrombophilia]]'''
:❑ [[Factor V Leiden mutation]]
:❑ [[Prothrombin gene mutation G20210A]]
:❑ [[Protein C]] or [[Protein S]] deficiency
:❑ [[Antithrombin]] (AT) deficiency
:❑ [[Antiphospholipid syndrome]] (APS)
❑ '''Abortion'''
:❑ [[Abortion]] at second or third trimester of [[pregnancy]] (suggestive of an inherited [[thrombophilia]] or APS)
'''Drugs that may increase the risk of VTE'''
:❑ [[Hydralazine]]
:❑ [[Hydralazine]]
:❑ [[Phenothiazine]]
:❑ [[Phenothiazine]]
:❑ [[Procainamide]]
:❑ [[Procainamide]]
:❑ [[Tamoxifen]]
:❑ [[Bevacizumab]]
:❑ [[Glucocorticoids]]
❑ '''Family history (suggestive of [[inherited thrombophilia]])'''
:❑ [[Deep vein thrombosis]]
:❑ [[Pulmonary embolism]]
:❑ Recurrent [[miscarriage]]
❑ '''Social history'''
:❑ Heavy [[cigarette smoking]] (>25 cigarettes per day)
:❑ [[Intravenous drug use]] (if injected directly in [[femoral vein]])
:❑ [[Alcohol]]
</div>}}
</div>}}
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{{familytree  | | | | | | | C01 | | C01=❑ <div style="float: left; text-align: left; width: 35em; padding:1em;">'''Examine the patient:''' <br>
{{familytree  | | | | | | | C01 | | C01=❑ <div style="float: left; text-align: left; width: 35em; padding:1em;">'''Examine the patient:''' <br>
'''Vitals''' <br>
❑ Temperature, [[blood pressure]], [[heart rate]] and [[respiratory rate]] may all be within normal range in [[DVT]].<br>
❑ Among patients with [[DVT]] complicated by [[PE]], the following might be present:
:❑ [[Blood pressure]] lower than baseline, suggestive of [[cardiogenic shock]] (associated with [[tachycardia]] and end organ hypoperfusion)
:❑ [[Tachycardia]] (26%)<ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref>
:❑ [[Tachypnea]] (70%)<ref name="pmid18757870">{{cite journal| author=Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P et al.| title=Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC). | journal=Eur Heart J | year= 2008 | volume= 29 | issue= 18 | pages= 2276-315 | pmid=18757870 | doi=10.1093/eurheartj/ehn310 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18757870  }} </ref>
:❑ [[Low grade fever]]<br>


'''Extremities''' <br>
'''Extremities''' <br>
❑ Unilateral calf or thigh tenderness <br>
❑ Unilateral calf or thigh tenderness <br>
❑ Unilateral calf or thigh [[edema]] <br>
❑ Unilateral calf or thigh [[pitting edema]] <br>
❑ Unilateral calf or thigh [[swelling]] <br>
❑ Difference in calf diameters > 3 cm (the calf circumference is measured 10 cm below the tibial tuberosity) <br>
❑ Difference in thigh diameters (the thigh circumference is measured 10-15 cm above the patella)<br>
❑ Unilateral calf or thigh warmth <br>
❑ Unilateral calf or thigh warmth <br>
❑ Unilateral calf or thigh  
❑ Unilateral calf or thigh [[erythema]] <br>
[[erythema]] <br>
❑ Palpable cord (a thickened palpable vein suggestive of thrombosed vein) <br>
❑ Palpable cord (suggestive of thrombosed vein) <br>
❑ Dilatation of unilateral collateral superficial [[veins]] <br>
❑ Difference in calf diameters <br>
❑ Localized tenderness upon palpation of the deep veins
❑ Dilatation of a superficial [[vein]] <br>
:❑ Posterior calf
❑ [[Homan's sign]] (not reliable)<br>
:❑ Popliteal fossa
❑ Generalized [[edema]] (suggestive of [[nephrotic syndrome]]) <br>
:❑ Inner anterior thigh
❑ [[Homan's sign]]: tenderness upon dorsiflexion of the foot (not reliable)<br>
 
 
'''Skin'''<br>
❑ Generalized [[edema]] (suggestive of [[right heart failure]], or [[nephrotic syndrome]])<br>
❑ [[Cyanosis|Cyanotic]] and cold skin, lips, nail bed (suggestive of [[cardiogenic shock]])<br>




'''Abdominal exam'''<br>
'''Abdomen'''<br>
❑ [[Ascites]] (suggestive of [[Budd Chiari syndrome]], that is [[hepatic vein thrombosis]])<br>
❑ [[Ascites]] (suggestive of [[Budd Chiari syndrome]], that is [[hepatic vein thrombosis]])<br>
❑ [[Hepatomegaly]] (suggestive of [[Budd Chiari syndrome]], that is [[hepatic vein thrombosis]])<br>
❑ [[Hepatomegaly]] (suggestive of [[Budd Chiari syndrome]], that is hepatic vein thrombosis)<br>
 
 
'''Heart'''<br>
Among patients with [[DVT]] complicated by [[PE]], the following might be present:<br>
❑ [[Cardiac murmur]]
:❑ [[Graham-Steell murmur]] (suggestive of [[pulmonary regurgitation]])
❑ [[Accentuated P2]]<br>
❑ [[S3]] or [[S4]] gallop (suggestive of [[RV dysfunction]])<br>
❑ [[Jugular venous distention]] (suggestive of [[right heart failure]])<br>
 


</div>}}
'''Lungs'''<br>
Among patients with [[DVT]] complicated by [[PE]], the following might be present:<br>
❑ [[Rales]]<br>
❑ [[Crackles]]<br>
❑ [[Pleural friction rub]]</div>}}
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{{familytree  | | | | | | | D01 | | D01= <div style="float: left; text-align: left; width: 35em; padding:1em;">'''[[Deep vein thrombosis resident survival guide#Assessment of the Pre-Test Probability of DVT|Assess the pretest probability of DVT]]'''<br> ([[Deep vein thrombosis resident survival guide#Assessment of the Pre-Test Probability of DVT|Wells score shown below]])</div>}}
{{familytree  | | | | | | | D01 | | D01= <div style="float: left; text-align: left; width: 35em; padding:1em;">'''[[Deep vein thrombosis resident survival guide#Assessment of the Pre-Test Probability of DVT|Assess the pretest probability of DVT]]'''<br> ([[Deep vein thrombosis resident survival guide#Assessment of the Pre-Test Probability of DVT|Wells score shown below]])</div>}}
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<div style="float: left; text-align: left; width: 35em; padding:1em;">'''Order tests:''' <br>
<div style="float: left; text-align: left; width: 35em; padding:1em;">'''Order tests:''' <br>
❑ [[CBC-D]] <br>
❑ [[CBC-D]] <br>
❑ [[PT]] and [[aPTT]]
❑ [[PT]] and [[aPTT]]<br>
❑ [[Creatinine]] <br>
❑ [[Creatinine]] <br>
❑ [[Liver function test]] </div> }}
❑ [[Liver function test]] </div> }}
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{{Family tree/end}}
{{Family tree/end}}


===Assessment of the Pre-Test Probability of DVT===
===Initial Anticoagulation Choices (DVT)===
====Calculation of Wells Score for DVT====
❑ SC [[low molecular weight heparin]] (1st line)
{| style="cellpadding=0; cellspacing= 0; width: 600px;"
:❑ Enoxaparin 1.0 mg/kg every 12 hours OR 1.5 mg/kg once daily
|-
:❑ Tinzaparin 175 U/kg once daily
| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Variables'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''<ref name="pmid16403932">{{cite journal| author=Wells PS, Owen C, Doucette S, Fergusson D, Tran H| title=Does this patient have deep vein thrombosis? | journal=JAMA | year= 2006 | volume= 295 | issue= 2 | pages= 199-207 | pmid=16403932 | doi=10.1001/jama.295.2.199 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16403932  }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17213132 Review in: Evid Based Med. 2006 Aug;11(4):119] [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16813372 Review in: ACP J Club. 2006 Jul-Aug;145(1):24] </ref>
❑ SC [[fondaparinux]] (1st line)
|-
:❑ 5 mg once daily (if body weight <50 kg)
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Active cancer with either palliative therapy or treatment that is either ongoing or within the prior 6 months|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
:❑ 7.5 mg once daily (if body weight <50-100 kg)
|-
:❑ 10 mg once daily (if body weight >100 kg)
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Patient was recently bedridden for at least 3 days<br> OR Major surgery in the prior 12 weeks necessitating general or regional anesthesia|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
❑ IV [[unfractionated heparin]]
|-
:❑ 80 U/kg as bolus, followed by 18 U/kg/h, OR
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Recent plaster immobilization, paresis or paralysis of the lower extremities|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
:❑ 70 U/kg as bolus, followed by 15 U/kg/h for stroke or cardiac patients<ref name="pmid22315259">{{cite journal| author=Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ et al.| title=Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2012 | volume= 141 | issue= 2 Suppl | pages= e152S-84S | pmid=22315259 | doi=10.1378/chest.11-2295 | pmc=PMC3278055 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22315259 }} </ref>
|-
:❑ Adjust the dosages according to the [[aPTT]]
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Tenderness that is localized is the distribution of the deep veins|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
❑ SC [[unfractionated heparin]]
|-
:❑ 333 U/kg as bolus, followed by 250 U/kg<ref name="pmid22315259">{{cite journal| author=Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ et al.| title=Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2012 | volume= 141 | issue= 2 Suppl | pages= e152S-84S | pmid=22315259 | doi=10.1378/chest.11-2295 | pmc=PMC3278055 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22315259 }}</ref>
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Leg is entirely swollen|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Calf is swollen for 3 cm or move compared to the other calf|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Pitting edema in the symptomatic leg|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Presence of collateral superficial veins|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |Previous DVT|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |There is an alternative diagnosis as likely as DVT|| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |-2
|-
|}
 
====Interpretation of Wells Score for DVT====
{| style="cellpadding=0; cellspacing= 0; width: 600px;"
|-
| style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Score'''||style="padding: 0 5px; font-size: 100%; background: #F5F5F5;" align=center | '''Pretest probability'''<ref name="pmid16403932">{{cite journal| author=Wells PS, Owen C, Doucette S, Fergusson D, Tran H| title=Does this patient have deep vein thrombosis? | journal=JAMA | year= 2006 | volume= 295 | issue= 2 | pages= 199-207 | pmid=16403932 | doi=10.1001/jama.295.2.199 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16403932  }}  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17213132 Review in: Evid Based Med. 2006 Aug;11(4):119]  [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16813372 Review in: ACP J Club. 2006 Jul-Aug;145(1):24] </ref><ref name="pmid9428249">{{cite journal| author=Wells PS, Anderson DR, Bormanis J, Guy F, Mitchell M, Gray L et al.| title=Value of assessment of pretest probability of deep-vein thrombosis in clinical management. | journal=Lancet | year= 1997 | volume= 350 | issue= 9094 | pages= 1795-8 | pmid=9428249 | doi=10.1016/S0140-6736(97)08140-3 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9428249 }} </ref>
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |≥3 ||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | High
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |1 or 2 ||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | Moderate
|-
| style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left |0 or less ||style="font-size: 90%; padding: 0 5px; background: #DCDCDC" align=left | Low
|}
 
====Modified Well Score====
<ref name="pmid14507948">{{cite journal| author=Wells PS, Anderson DR, Rodger M, Forgie M, Kearon C, Dreyer J et al.| title=Evaluation of D-dimer in the diagnosis of suspected deep-vein thrombosis. | journal=N Engl J Med | year= 2003 | volume= 349 | issue= 13 | pages= 1227-35 | pmid=14507948 | doi=10.1056/NEJMoa023153 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14507948 }} [http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15122830 Review in: ACP J Club. 2004 May-Jun;140(3):67] </ref>


== Anticoagulation for VTE==
== Anticoagulation for VTE==
Line 165: Line 247:
* 7.5 mg daily
* 7.5 mg daily
* 10 mg daily if weight>100 Kg<ref name="pmid22315259">{{cite journal| author=Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ et al.| title=Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2012 | volume= 141 | issue= 2 Suppl | pages= e152S-84S | pmid=22315259 | doi=10.1378/chest.11-2295 | pmc=PMC3278055 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22315259  }} </ref>
* 10 mg daily if weight>100 Kg<ref name="pmid22315259">{{cite journal| author=Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ et al.| title=Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2012 | volume= 141 | issue= 2 Suppl | pages= e152S-84S | pmid=22315259 | doi=10.1378/chest.11-2295 | pmc=PMC3278055 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22315259  }} </ref>
==Long Term Treatment==
Shown below is the long term treatment for DVT.  Note that not all patients with isolated distal DVT are started on anticoagulation, only those who are started require long term therapy with anticoagulation.  Patients who are planned to receive long term therapy with [[anticoagulation]] should be assessed regularly for the risks vs benefits of [[anticoagulation therapy]].<ref name="pmid22315257">{{cite journal| author=Guyatt GH, Akl EA, Crowther M, Gutterman DD, Schuünemann HJ, American College of Chest Physicians Antithrombotic Therapy and Prevention of Thrombosis Panel| title=Executive summary: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. | journal=Chest | year= 2012 | volume= 141 | issue= 2 Suppl | pages= 7S-47S | pmid=22315257 | doi=10.1378/chest.1412S3 | pmc=PMC3278060 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22315257  }} </ref>
{{Family tree/start}}
{{familytree | | | | | | | | A01 | | | | | | | | A01= '''Is the DVT provoked or unprovoked?'''}}
{{familytree | | | |,|-|-|-|-|^|-|-|-|-|.| | | }}
{{familytree | | | B01 | | | | | | | | B02 | | B01= '''Provoked'''| B02= '''Unprovoked'''}}
{{familytree | | | |!| | | | | | | | | |!| | | }}
{{familytree | | | B03 | | | | | | | | B04 | | B03= '''What is the predisposing factor?'''|B04= '''Is this the first or second episode?'''}}
{{familytree | |,|-|^|-|.| | | |,|-|-|-|^|-|-|-|.| | | }}
{{familytree | C01 | | C02 | | C03 | | | | | | C04 | | C01= '''Surgical''' <br>OR <br>'''Transient non surgical predisposing factor''' | C02= '''Cancer'''| C03='''First episode'''| C04= '''Second episode'''}}
{{familytree | |!| | | |!| | | |!| | | | | | | |!| | | }}
{{familytree | D01 | | D02 | | D03 | | | | | | D04 | | D01= '''Therapy for 3 months'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]]</div>|D02= '''Extended therapy or until cancer is cured'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[LMWH]] (first line)<br> OR <br> ❑ [[VKA]] <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>| D03= '''Is the DVT proximal or distal?'''|D04= '''What is the risk of bleeding?'''}}
{{familytree | | | | | | | |,|-|^|-|.| | | |,|-|^|-|.| }}
{{familytree | | | | | | | E01 | | E02 | | E03 | | E04 | E01= '''Proximal DVT'''|E02= '''Isolated distal DVT'''| E03= '''Low or moderate risk of bleeding'''| E04= '''High risk of bleeding'''}}
{{familytree | | | | | | | |!| | | |!| | | |!| | | |!| | }}
{{familytree | | | | | | | F01 | | F02 | | F03 | | F04 | F01= '''What is the risk of bleeding?'''| F02= '''Therapy for 3 months (irrespective of the risk of bleeding)'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>| F03= '''Extended therapy'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>| F04= '''Therapy for 3 months'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>}}
{{familytree | | | | | |,|-|^|-|.| | | | | | | | | | | | }}
{{familytree | | | | | G01 | | G02 | | | | | | | G01= '''Low or moderate'''| G02= '''High'''}}
{{familytree | | | | | |!| | | |!| | | | | | | | }}
{{familytree | | | | | H01 | | H02 | | | | | | | H01= '''Extended therapy'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>| H02= '''Therapy for 3 months'''<br><div style="float: left; text-align: left; padding:1em;">❑ [[VKA]] (first line)<br> OR <br> ❑ [[LMWH]] (2nd line) <br> OR <br> ❑ [[Dabigatran]] <br> OR <br> ❑ [[Rivaroxaban]] </div>}}
{{Family tree/end}}
==Do's==
* If long term anticoagulation is extended for a longer period beyond 3 months, the same drug initially started should be continued.

Latest revision as of 01:16, 24 October 2014

Complete Diagnostic Approach

A complete diagnostic approach should be carried out after a focused initial rapid evaluation is conducted and following initiation of any urgent intervention.[1]

 
 
 
 
 
 
Characterize the symptoms in the involved extremity:

Swelling
Pain
Erythema

❑ Warmth
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Identify if symptoms of pulmonary embolism (PE) are present:

Dyspnea (78–81%)[2]
Pleuritic chest pain (39–56%)[2]
Fainting (22–26%)[2]
Cough (20%)[3]
Substernal chest pain (12%)[3]
Hemoptysis (11%)[3]
Wheezing
Cyanosis (11%)[2]
Fever (7%)[2]
❑ Symptoms suggestive of shock (in case of massive PE)

Altered mental status
Cold extremities
Cyanosis
Oliguria
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Identify possible precipitating factors:
❑ Recent surgery
Hospitalization
Trauma
Pregnancy
Postpartum
Heart failure
❑ Immobility
❑ Recent bed rest
❑ Recent cast of lower extremities
Obesity
❑ Active malignancy
❑ Treatment for malignancy within the last 6 months
Stroke
❑ Paralysis
❑ Paresis
Oral contraceptive or hormone replacement therapy


Elicit a detailed history:

Risk factors[4][3]

Chemotherapy
Chronic heart failure
Respiratory failure
Hormone replacement therapy
Cancer
Oral contraceptive pills
Stroke
Pregnancy
Postpartum
❑ Prior history of VTE
Thrombophilia
❑ Advanced age
Laparoscopic surgery
❑ Prepartum
Obesity
Varicose veins

Triggers[4][3]

Bone fracture (hip or leg)
Hip replacement surgery
❑ Knee replacement surgery
Major general surgery
Significant trauma
Spinal cord injury
❑ Athroscopic knee surgery
Central venous lines
Chemotherapy
❑ Bed rest for more than 3 days
❑ Prolonged car or air travel
Laparoscopic surgery
❑ Prepartum

Previous episode of VTE

❑ Age
❑ Location

Past medical history of diseases associated with hyperviscosity

Atherosclerosis
Collagen vascular disease
Heart failure
Myeloproliferative disease
Nephrotic syndrome
Autoimmune diseases
Polycythemia vera
Hyperhomocysteinemia
Paroxysmal nocturnal hemoglobinuria
Waldenstrom macroglobulinemia
Multiple myeloma

History of thrombophilia

Factor V Leiden mutation
Prothrombin gene mutation G20210A
Protein C or Protein S deficiency
Antithrombin (AT) deficiency
Antiphospholipid syndrome (APS)

Abortion

Abortion at second or third trimester of pregnancy (suggestive of an inherited thrombophilia or APS)

Drugs that may increase the risk of VTE

Hydralazine
Phenothiazine
Procainamide
Tamoxifen
Bevacizumab
Glucocorticoids

Family history (suggestive of inherited thrombophilia)

Deep vein thrombosis
Pulmonary embolism
❑ Recurrent miscarriage

Social history

❑ Heavy cigarette smoking (>25 cigarettes per day)
Intravenous drug use (if injected directly in femoral vein)
Alcohol
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Examine the patient:

Vitals
❑ Temperature, blood pressure, heart rate and respiratory rate may all be within normal range in DVT.
❑ Among patients with DVT complicated by PE, the following might be present:

Blood pressure lower than baseline, suggestive of cardiogenic shock (associated with tachycardia and end organ hypoperfusion)
Tachycardia (26%)[3]
Tachypnea (70%)[3]
Low grade fever


Extremities
❑ Unilateral calf or thigh tenderness
❑ Unilateral calf or thigh pitting edema
❑ Unilateral calf or thigh swelling
❑ Difference in calf diameters > 3 cm (the calf circumference is measured 10 cm below the tibial tuberosity)
❑ Difference in thigh diameters (the thigh circumference is measured 10-15 cm above the patella)
❑ Unilateral calf or thigh warmth
❑ Unilateral calf or thigh erythema
❑ Palpable cord (a thickened palpable vein suggestive of thrombosed vein)
❑ Dilatation of unilateral collateral superficial veins
❑ Localized tenderness upon palpation of the deep veins

❑ Posterior calf
❑ Popliteal fossa
❑ Inner anterior thigh

Homan's sign: tenderness upon dorsiflexion of the foot (not reliable)


Skin
❑ Generalized edema (suggestive of right heart failure, or nephrotic syndrome)
Cyanotic and cold skin, lips, nail bed (suggestive of cardiogenic shock)


Abdomen
Ascites (suggestive of Budd Chiari syndrome, that is hepatic vein thrombosis)
Hepatomegaly (suggestive of Budd Chiari syndrome, that is hepatic vein thrombosis)


Heart
Among patients with DVT complicated by PE, the following might be present:
Cardiac murmur

Graham-Steell murmur (suggestive of pulmonary regurgitation)

Accentuated P2
S3 or S4 gallop (suggestive of RV dysfunction)
Jugular venous distention (suggestive of right heart failure)


Lungs
Among patients with DVT complicated by PE, the following might be present:
Rales
Crackles

Pleural friction rub
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Consider alternative diagnoses:

Muscle strain or muscle tear
Immobilization that led to leg swelling
Lymphedema
Lymphangitis
Chronic venous insufficiency
❑ Venous obstruction ❑ Baker's cyst
Cellulitis
Superficial thrombophlebitis
Hypoproteinemia

Nephrotic syndrome
Cirrhosis
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Order tests:

CBC-D
PT and aPTT
Creatinine

Liver function test
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Is the suspected DVT a first or a recurrent episode?
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
First suspected episode
 
Suspected recurrent episode
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Low pretest probability
(Click here for the diagnostic approach)
 
Moderate pretest probability
(Click here for the diagnostic approach)
 
High pretest probability
(Click here for the diagnostic approach)
 
 
 

Initial Anticoagulation Choices (DVT)

❑ SC low molecular weight heparin (1st line)

❑ Enoxaparin 1.0 mg/kg every 12 hours OR 1.5 mg/kg once daily
❑ Tinzaparin 175 U/kg once daily

❑ SC fondaparinux (1st line)

❑ 5 mg once daily (if body weight <50 kg)
❑ 7.5 mg once daily (if body weight <50-100 kg)
❑ 10 mg once daily (if body weight >100 kg)

❑ IV unfractionated heparin

❑ 80 U/kg as bolus, followed by 18 U/kg/h, OR
❑ 70 U/kg as bolus, followed by 15 U/kg/h for stroke or cardiac patients[5]
❑ Adjust the dosages according to the aPTT

❑ SC unfractionated heparin

❑ 333 U/kg as bolus, followed by 250 U/kg[5]

Anticoagulation for VTE

Warfarin

  • Begin with 10 mg warfarin for 2 days followed by dosing based on the INR
  • Start at the 1st or 2nd day of the initial parenteral therapy
  • Target INR is 2-3
  • Monitor INR:
    • If stable, repeat INR every 12 weeks
    • If stable but one value 0.5 below or above the target range, continue the same dose and repeat INR within 1-2 weeks
  • Avoid NSAIDs, COX2 selective NSAIDs and some antibiotics[5]

Heparin

IV-UFH

  • 80 U/kg as bolus, followed by 18 U/kg/h
  • 70 U/kg as bolus, followed by 15 U/kg/h for stroke or cardiac patients[5]

SC-UFH

  • 333 U/kg as bolus, followed by 250 U/kg[5]

LMWH: decrease dose in renal insufficiency (Creatinine clearance < 30 mL/min)[5]

Fondaparinux

  • 7.5 mg daily
  • 10 mg daily if weight>100 Kg[5]
  1. Bates SM, Jaeschke R, Stevens SM, Goodacre S, Wells PS, Stevenson MD; et al. (2012). "Diagnosis of DVT: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 141 (2 Suppl): e351S–418S. doi:10.1378/chest.11-2299. PMC 3278048. PMID 22315267.
  2. 2.0 2.1 2.2 2.3 2.4 Cohen AT, Dobromirski M, Gurwith MM (2014). "Managing pulmonary embolism from presentation to extended treatment". Thromb Res. 133 (2): 139–48. doi:10.1016/j.thromres.2013.09.040. PMID 24182642.
  3. 3.0 3.1 3.2 3.3 3.4 3.5 3.6 Torbicki A, Perrier A, Konstantinides S, Agnelli G, Galiè N, Pruszczyk P; et al. (2008). "Guidelines on the diagnosis and management of acute pulmonary embolism: the Task Force for the Diagnosis and Management of Acute Pulmonary Embolism of the European Society of Cardiology (ESC)". Eur Heart J. 29 (18): 2276–315. doi:10.1093/eurheartj/ehn310. PMID 18757870.
  4. 4.0 4.1 Anderson FA, Spencer FA (2003). "Risk factors for venous thromboembolism". Circulation. 107 (23 Suppl 1): I9–16. doi:10.1161/01.CIR.0000078469.07362.E6. PMID 12814980.
  5. 5.0 5.1 5.2 5.3 5.4 5.5 5.6 Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ; et al. (2012). "Evidence-based management of anticoagulant therapy: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines". Chest. 141 (2 Suppl): e152S–84S. doi:10.1378/chest.11-2295. PMC 3278055. PMID 22315259.