Flashcards in Thrombo emobolitic disorders Deck (9):
-DVT is development of thrombi in deep veins in extremities or pelvis.
-PE is lodging of thrombus or embolus in pulmonary circulation from distant site. Massive, submassive, small to moderate.
DVT- clot can dislodge and go to lungs=PE
post op, trauma
OCP or oestrogen
age, hx of TE, haematological disorders eg thrombophilia, obesity, CHF, over 30 mins anaesthesia, smoking and abdo obesity, central venous catheter or pm, varicose veins, collagen vascular disease, nephrotic syndrome, myeloproliferative disorders, pollution.
Same plus SC injury, COPD, DM, acute illness, autoimmune disease.
Rare- RV thrombus post MI, septic emboli, fat/air/amniotic fluid emboli, neoplastic cells, parasites.
Ruptured bakers cyst
Muscle or soft tissue injury, stress fracture
Abcess, septic arthritis
MI, tamponade, pericarditis, CHF, aortic dissection.
Pneumonia, Pneumothorax, pleuritis, chest wall pain.
GI ulcer, gastritis, oesophageal rupture.
Non specific eg unilateral pain, tender, swelling, erythema.
Acute SOB, sharp stabbing pleuritic CP, haemoptysis, syncope, dry cough.
LMWH initally, low dose
Warfarin for 3 months then reassess.
IVC filter to prevent PE
Thrombolysis if very severe
Thrombectomy, catheter directed Tlysis, thromboreduction.
Factor Xa inhibition
Calf warmth, tenderness, swelling, erythema.
Superficial V distension
Pleural rub and effusion
D dimer (fibrin degradation product), US, haematology (thrombophilia), CA screen
FBC, UE, clotting, D dimer. ABG.
CXR linear atelectasis, PA dilation, small effusion, wedge opacities or cavaitation.
ECG tachyc or RBBB. Rule out MI.
CT pulmonary angiography.
DVT clot through ASD into arterial system= CVA