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{| class="infobox" style="float:right;"
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| [[File:Siren.gif|30px|link=Deep vein thrombosis resident survival guide]]|| <br> || <br>
| [[Deep vein thrombosis resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
{{Deep vein thrombosis}}
{{Deep vein thrombosis}}


'''For patient information page, click [[{{PAGENAME}} (patient information)|here]]
'''For patient information page, click [[{{PAGENAME}} (patient information)|here]]'''


'''For main page on Venous Thrombosis, click [[Venous thrombosis|here]]
'''For economy class syndrome, click [[economy class syndrome|here]]'''


{{Infobox_Disease |
'''For main page on venous thrombosis, click [[Venous thrombosis|here]]'''
  Name          = {{PAGENAME}} |
  Image          = |
  Caption        = |
  DiseasesDB    = 3498 |
  ICD10          = {{ICD10|I|80|2|i|80}} |
  ICD9          = {{ICD9|453.40}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  MeshID        = D020246 |
}}
{{SI}}
{{CMG}}; '''Associate Editor-In-Chief:''' {{CZ}} [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]] [mailto:urastogi@perfuse.org]


==[[Deep vein thrombosis overview|Overview]]==
'''Editor(s)-In-Chief:''' {{ATI}}, [[C. Michael Gibson, M.S., M.D.]] [mailto:charlesmichaelgibson@gmail.com]; {{AE}} {{CZ}}; [[User:Kashish Goel|Kashish Goel, M.D.]]; [[User:Justine Cadet|Justine Cadet]]; {{Rim}}


==[[Deep vein thrombosis pathophysiology|Pathophysiology]]==
{{SK}} DVT


==[[Deep vein thrombosis epidemiology and demographics|Epidemiology and Demographics]]==
==[[Deep vein thrombosis overview|Overview]]==


==[[Deep vein thrombosis risk factors|Risk factors]]==
==[[Deep vein thrombosis classification scheme|Classification]]==


==[[Deep vein thrombosis diagnosis|Diagnosis]]==
==[[Deep vein thrombosis pathophysiology|Pathophysiology]]==


==[[Deep vein thrombosis treatment|Treatment]]==
==[[Deep vein thrombosis causes|Causes]]==


[[Deep vein thrombosis medical therapy|Medical Therapy]] | [[Deep vein thrombosis surgery|Surgery]] | [[Deep vein thrombosis primary prevention|Primary Prevention]] | [[Deep vein thrombosis secondary prevention|Secondary Prevention]]
==[[Deep vein thrombosis differential diagnosis|Differentiating Deep Vein Thrombosis from other Diseases]]==


===Signs and symptoms===
==[[Deep vein thrombosis epidemiology and demographics|Epidemiology and Demographics]]==
There may be no symptoms referrable to the location of the DVT, but the classical symptoms of DVT include [[Pain and nociception|pain]], [[swelling]] and redness of the [[leg]] and dilation of the surface veins.  In up to 25% of all hospitalized patients, there may be ''some'' form of DVT, which often remains clinically inapparent (unless [[pulmonary embolism]] develops).
 
There are several techniques during physical examination to increase the detection of DVT, such as measuring the circumference of the affected and the contralateral limb at a fixed point (to objectivate [[edema]]), and palpating the [[vein|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 cool with a diminished arterial pulse due to spasm. It usually results from acute occlusion of the iliac and femoral veins due to DVT.
 
In phlegmasia cerulea dolens, there is an acute and nearly 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.
 
It is vital that the possibility of pulmonary embolism be included in the history, as this may warrant further investigation (''see'' [[pulmonary embolism]]).
 
A careful history has to be taken considering ''risk factors'' (see below), including the use of estrogen-containing methods of [[hormonal contraception]], recent long-haul flying, and a history of [[miscarriage]] (which is a feature of several disorders that can also cause thrombosis).  A family history can reveal a [[genetic disorder|hereditary]] factor in the development of DVT.
 
<gallery>
Image:Extremities dvt.jpg|Deep venous thrombosis
Image:Extremities dvt2.jpg|Deep venous thrombosis
Image:Extremities dvt3.jpg|Deep venous thrombosis 
</gallery>
 
 
===Imaging the leg veins===
[[Impedance plethysmography]], Doppler ultrasonography, compression [[medical ultrasonography|ultrasound]] scanning of the leg veins, combined with duplex measurements (to determine blood flow), can reveal a [[blood clot]] and its extent (i.e. whether it is below or above the [[knee]]).
 
====Examples====
[http://www.radswiki.net Images courtesy of RadsWiki]


*'''Example #1: CT images: DVT at left leg'''
==[[Deep vein thrombosis risk factors|Risk Factors]]==
<br>
<div align="left">
<gallery heights="125" widths="125">
Image:DVT-001.jpg
Image:DVT-002.jpg
</gallery>
</div>


*'''Example #2: 2D TOF GRE MRV images: Bilateral deep vein thromboses'''
==[[Deep vein thrombosis triggers|Triggers]]==


[http://www.radswiki.net Images courtesy of RadsWiki]
==[[Deep vein thrombosis screening|Screening]]==


<div align="left">
==[[Deep vein thrombosis natural history|Natural History, Complications and Prognosis]]==
<gallery heights="125" widths="125">
Image:Deep-vein-thrombosis-on-MRV-001.jpg
Image:Deep-vein-thrombosis-on-MRV-002.jpg
Image:Deep-vein-thrombosis-on-MRV-003.jpg
</gallery>
</div>


===Ongoing Health Care Needs===
==Diagnosis==


Medicines that thin your blood and prevent blood clots are used to treat DVT. These medicines can thin your blood too much and cause bleeding (sometimes inside the body). This side effect can be life threatening.
[[Deep vein thrombosis diagnostic approach|Diagnostic Approach]] | [[Deep vein thrombosis assessment of clinical probability and risk scores|Assessment of Clinical Probability and Risk Scores]] | [[Deep vein thrombosis assessment of probability of subsequent VTE and risk scores|Assessment of Probability of Subsequent VTE and Risk Scores]] | [[Deep vein thrombosis history and symptoms|History and Symptoms]] | [[Deep vein thrombosis physical examination|Physical Examination]] | [[Deep vein thrombosis laboratory tests|Laboratory Findings]] | [[Deep vein thrombosis ultrasound| Ultrasound]] | [[Deep vein thrombosis venography| Venography]] | [[Deep vein thrombosis CT|CT]] | [[Deep vein thrombosis MRI|MRI]] | [[Deep vein thrombosis other imaging findings|Other Imaging Findings]]


Bleeding may occur in the digestive system or the brain. Signs and symptoms of bleeding in the digestive system include:
==Treatment==
[[Deep vein thrombosis treatment approach|Treatment Approach]] | [[Deep vein thrombosis medical therapy|Medical Therapy]] | [[Deep vein thrombosis compression stockings|Compression stockings]] | [[Deep vein thrombosis IVC filter|IVC filter]] | [[Deep vein thrombosis invasive therapy|Invasive Therapy]] | [[Deep vein thrombosis surgery|Surgery]] | [[Deep vein thrombosis prevention|Prevention]] | [[Deep vein thrombosis cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Deep vein thrombosis future or investigational therapies|Future or Investigational Therapies]]


* Bright red vomit or vomit that looks like coffee grounds
== Special Scenarios ==
* Bright red blood in your stools or black, tarry stools
[[Deep vein thrombosis special scenario upper extremity|Upper Extremity DVT]] | [[Deep vein thrombosis special scenario recurrence|Recurrence]] | [[Deep vein thrombosis special scenario pregnancy|Pregnancy]]
* Pain in your abdomen


Signs and symptoms of bleeding in the brain include:
==Trials==
[[Deep vein thrombosis landmark trials in treatment|Landmark Trials]]


* Severe pain in your head
==Case Studies==
* Sudden changes in your vision
[[Deep vein thrombosis case study one|Case #1]]
* Sudden loss of movement in your arms or legs
* Memory loss or confusion


If you have any of these signs or symptoms, get treatment right away.
[[Category:Medicine]]
 
==References==
{{Reflist|2}}
 
==See also==
*[[Venogram (medical)]]
 
{{Circulatory system pathology}}
{{SIB}}
 
[[ar:تجلط الوريد العميق]]
[[it:Trombosi venosa profonda]]
[[nl:Diep-veneuze trombose]]
[[pt:Trombose venosa profunda]]
 
[[Category:Disease state]]
[[Category:Overview complete]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Angiology]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Vascular surgery]]
[[Category:Vascular surgery]]
 
[[Category:Up-To-Date]]
 
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}

Latest revision as of 18:38, 28 October 2018
Resident
Survival
Guide

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 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

CDC on Deep vein thrombosis

Deep vein thrombosis in the news

Blogs on Deep vein thrombosis

Directions to Hospitals Treating Deep vein thrombosis

Risk calculators and risk factors for Deep vein thrombosis

For patient information page, click here

For economy class syndrome, click here

For main page on venous thrombosis, click here

Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Kashish Goel, M.D.; Justine Cadet; Rim Halaby, M.D. [3]

Synonyms and keywords: DVT

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 | Compression stockings | IVC filter | Invasive Therapy | Surgery | Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Special Scenarios

Upper Extremity DVT | Recurrence | Pregnancy

Trials

Landmark Trials

Case Studies

Case #1

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