Chapter 111 Venous Thrombosis (Part 4) pptx

... >4: PE likely Chapter 111. Venous Thrombosis (Part 4) Deep Vein Thrombosis The signs and symptoms of DVT, such as swelling, pain, redness, superficial venous dilatation, and Homan's ... of thrombosis. Elevations of D-dimer in patients > 70 years who do not have thrombosis make the test less useful in this population. Table 111- 2 Clinical Decisio...

Ngày tải lên: 07/07/2014, 04:20

... primary prevention are available. Venous thrombosis tends to recur. The risk factors for a first venous thrombosis are not the same as for recurrent venous thrombosis and to a large extent ... those associated with hypercoagulability, which can be either genetic or acquired (Table 111- 1). Venous thrombosis is a multicausal disease that occurs when several risk factors are...

Ngày tải lên: 07/07/2014, 04:20

... risk factors, increasing Chapter 111. Venous Thrombosis (Part 2) Figure 111- 1 antithrombin, protein C, and protein S deficiencies—increase the risk of recurrent thrombosis by 50% at most. ... (red). (From FR Rosendaal: Venous thrombosis: A multicausal disease. Lancet 353:1167, 1999; with permission.) Several acquired risk factors are very strong, causing throm...

Ngày tải lên: 07/07/2014, 04:20

... workup of DVT and PE have much in common, they will be discussed separately. Chapter 111. Venous Thrombosis (Part 3) Thrombophilia Testing Testing for prothrombotic abnormalities outside ... forms of venous thrombosis, and extension to the deep vein occurs. Treatment options are a matter of debate and vary from anticoagulants to an expectant approach. Global Data...

Ngày tải lên: 07/07/2014, 04:20

... small fraction of patients have abnormal results and it further complicates the workup. Deep Vein Thrombosis and Pulmonary Embolism: Treatment The objectives of anticoagulant treatment for DVT ... risk of the development of the postthrombotic syndrome (swelling, stasis dermatitis, ulceration, venous claudication); in PE, treatment reduces the risk of pulmonary hypertension. A spectr...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 111. Venous Thrombosis (Part 6) Table 111- 3 Long- Term Treatment with Vitamin K Antagonists for Deep Vein Thrombosis (DVT) and Pulmonary Embolism ... transie nt (reversible) risk factor 3 Recommendation applies to both proximal and calf vein thrombosis First episode of idiopathic DVT or PE 6–12 Continuation of anticoagulant therapy ... patients with DVT and...

Ngày tải lên: 07/07/2014, 04:20

... Previously documented deep vein thrombosis 1 Alternative diagnosis at least as likely as deep vein –2 Chapter 112. Venous Thrombosis (Part 4) Deep Vein Thrombosis The signs and symptoms ... of thrombosis. Elevations of D-dimer in patients > 70 years who do not have thrombosis make the test less useful in this population. Table 111- 2 Clinical Decision Rule for...

Ngày tải lên: 07/07/2014, 04:20

... vein thrombosis (CT) No Yes — CLIP stages (score = sum of points): CLIP 0, 0 points; CLIP 1, 1 point; CLIP 2, 2 points; CLIP 3, 3 points. Chapter 088. Hepatocellular Carcinoma (Part 4) ... contribution of the underlying liver disease was originally developed by Okuda et al. (Table 88 -4). Patients with Okuda stage III have a dire prognosis, because they usually cannot be...

Ngày tải lên: 07/07/2014, 02:20

... the absence of FVL Chapter 112. Venous Thrombosis (Part 1) Harrison's Internal Medicine > Chapter 111. Venous Thrombosis Venous Thrombosis: Introduction Venous thrombosis is the ... of thrombosis. Detailed guidelines for primary prevention are available. Venous thrombosis tends to recur. The risk factors for a first venous thrombosis are not the s...

Ngày tải lên: 07/07/2014, 04:20

... Chapter 112. Venous Thrombosis (Part 5) Withholding further diagnostic testing and anticoagulant treatment in ... episode of DVT and a documented thrombophilic abnormality differently from those with idiopathic thrombosis. Hence, the recommendation is also 6–12 months of VKA. A duration of 12 months is recommended ... the treatments of DVT and PE have much in common, they wi...

Ngày tải lên: 07/07/2014, 04:20