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Deep Vein Thrombophlebitis

Umer Rashid, MD and Jyothi R Patri, MD, MHA, FAAFP, HMDC Reviewed 06/2022
 


BASICS

DESCRIPTION

  • Development of blood clot within the deep veins, usually accompanied by inflammation of the vessel wall

  • Major clinical consequences are embolization (usually to the lung), recurrent t...

DIAGNOSIS

HISTORY

  • Higher clinical suspicion in patient with risk factors (see “Risk Factors” section)

  • DVT is classified as provoked or idiopathic based on underlying risk factors.

  • Clinical assessment of ...

TREATMENT

MEDICATION

Consider starting therapy before diagnosis confirmation in patients with high pretest probability and acceptable risk of bleeding. 
  • Anticoagulation is the mainstay of therapy. For p...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Resumption of normal activity with avoidance of prolonged immobility

  • Compression stockings are not routinely recommended for the prevention of PTS after acute DVT ...

REFERENCES

1
Holbrook  A, Schulman  S, Witt  DM, et al. Evidence-based management of anticoagulant therapy: antithrombotic therapy and prevention of thrombosis, 9th ed: American...

SEE ALSO

Antithrombin Deficiency; Factor V Leiden; Protein C Deficiency; Protein S Deficiency; Prothrombin 20210 (Mutation); Pulmonary Embolism 

CODES

ICD10

  • I80.209 Phlbts and thombophlb of unsp deep vessels of unsp low extrm

  • I80.299 Phlebitis and thombophlb of deep vessels of unsp low extrm

  • I80.10 Phlebitis and thrombophlebitis of unspecified fe...

CLINICAL PEARLS

  • Many cases of VTE are asymptomatic.

  • At the time of DVT diagnosis, as many as 40% of patients also have asymptomatic PE.

  • Wells criteria are useful to determine the pretest probability of ...

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