DVT

Question 1

Which A-E

Answer 1

E but can become B potentially if PE

Question 2

Airway

Answer 2

Question 3

Breathing

Answer 3

Look: increased WOB, pleuritic chest pain, tripoding, accessory muscle use

Listen: heart sounds, bronchial breathing

Feel: even chest expansion no tracheal deviation

O2 (low?) RR (high)

Chest-Xray
ABG

High flow oxygen via NRM
If suspected PE - CTPA

Management:
* Well’s score if >4 likely
* Ultrasound Doppler
* LMWH (enoxaparin 1.5mg/kg SC every 24 hours until DOAC)

Long-term
* LMWH
* DOAC
* Warfarin

Question 4

Circulation

Answer 4

Look: anaemia, shutdown
Listen: S1,S3
Feel: apex beat, CRT, pulse

HR, BP
ECG:

Bloods: D-dimer

Question 5

Disability

Answer 5

PEARL
GCS
Neuro
Glucose

Question 6

Exposure

Answer 6

Examine abdo
Temperature
Catheter
Urine dip
CALVES!

After first episode of unexplained DVT: suspect cancer:
* Hx and exam
* CXR
* Bloods (FBC, Ca, LFTs)
* Urine dip
* CT abdo pelvis if >40
* Mammogram if >40
* antiphospholipid antibodies