Deep vein thrombosis history and symptoms: Difference between revisions

Jump to navigation Jump to search
No edit summary
No edit summary
Line 3: Line 3:
{{Deep vein thrombosis}}
{{Deep vein thrombosis}}
==Overview==
==Overview==
In 25% of all hospitalized patients, there may be '''some''' form of DVT, which often remains clinically '''in-apparent''' (unless [[pulmonary embolism]] develops). It is vital that the possibility of pulmonary embolism be included in the history, as this may warrant further investigation (''see'' [[pulmonary embolism]]).  There are several techniques during physical examination to increase the detection of DVT.
In 25% of all hospitalized patients, there may be '''some''' form of DVT, which often remains clinically '''in-apparent''' (unless pulmonary embolism develops). It is vital that the possibility of pulmonary embolism be included in the history, as this may warrant further investigation (''see'' [[pulmonary embolism]]).  There are several techniques during physical examination to increase the detection of DVT.


==History==
==History==

Revision as of 00:42, 6 September 2011

Editors-in-Chief: C. Michael Gibson, M.S., M.D. Associate Editor-In-Chief: Ujjwal Rastogi, MBBS [1]

Deep Vein Thrombosis Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Deep vein thrombosis from other Diseases

Epidemiology and Demographics

Risk Factors

Triggers

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Approach

Assessment of Clinical Probability and Risk Scores

Assessment of Probability of Subsequent VTE and Risk Scores

History and Symptoms

Physical Examination

Laboratory Findings

Ultrasound

Venography

CT

MRI

Other Imaging Findings

Treatment

Treatment Approach

Medical Therapy

IVC Filter

Invasive Therapy

Surgery

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Special Scenario

Upper extremity DVT

Recurrence

Pregnancy

Trials

Landmark Trials

Case Studies

Case #1

Deep vein thrombosis history and symptoms On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Deep vein thrombosis history and symptoms

CDC on Deep vein thrombosis history and symptoms

Deep vein thrombosis history and symptoms in the news

Blogs on Deep vein thrombosis history and symptoms

Directions to Hospitals Treating Deep vein thrombosis

Risk calculators and risk factors for Deep vein thrombosis history and symptoms

Overview

In 25% of all hospitalized patients, there may be some form of DVT, which often remains clinically in-apparent (unless pulmonary embolism develops). It is vital that the possibility of pulmonary embolism be included in the history, as this may warrant further investigation (see pulmonary embolism). There are several techniques during physical examination to increase the detection of DVT.

History

In patients having known risk factors, a careful history should be taken. It must include the following:

A family history can reveal a hereditary factor in the development of DVT.

Symptoms

The classical symptoms of DVT include:

  • Pain in the affected area.
  • Swelling of the affected area.
  • Dilation of the surface veins and redness of the overlying area.

There may be no symptoms referable to the location of the DVT. .

There are several techniques during physical examination to increase the detection of DVT, such as measuring the circumference of the affected and the contra-lateral limb at a fixed point (to objective edema), and palpating the venous tract, which is often tender. Physical examination is unreliable for excluding the diagnosis of deep vein thrombosis.

In phlegmasia alba dolens, the leg is pale and cold with a diminished arterial pulse. It usually results from acute occlusion of the iliac and femoral veins due to DVT.

In phlegmasia cerulea dolens, there is an acute and near-total venous occlusion of the entire extremity outflow, including the iliac and femoral veins. The leg is usually painful, cyanosed and oedematous. Venous gangrene may supervene.

Template:WH Template:WS