DVT & PE Flashcards Preview

AY Cardiovascular > DVT & PE > Flashcards

Flashcards in DVT & PE Deck (11)
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1
Q

Symptoms & signs of DVT

A
Red, swollen leg (particularly calf) 
Tenderness 
Pitting oedema 
Fever 
Horman's sign
2
Q

What score is used to diagnose DVT

A

Well’s score

3
Q

Differentials of a suspected DVT

A

Ruptured bakers cyst
Cellulitis
Lymphadenopathy

4
Q

Investigations for suspected DVT

A

Venography (“gold standard”)
D-dimer (negative rules out but positive doesn’t diagnose)
Leg measurement
USS

5
Q

What is first line treatment for DVT?

A

LMWHs or fondaparinux
AND
Warfarin

6
Q

When to stop LMWHs?

A

INR is 2 or above for at least 24 hours

7
Q

When treating a DVT when should UFH be used instead of LMWH?

A

Renal failure

Increased risk of bleeding

8
Q

Who do you offer a VKA to when treating a DVT or PE?

A

Patients with a proximal DVT or PE

9
Q

How long do the patients take warfarin for?

A

6 months if first DVT
3 months if first DVT & occurred post-op
Indefinitely if recurrent DVT

10
Q

When is thrombolysis used?

A

If PE is termed “massive”

11
Q

Risk factors for PE & DVT

A
Age 
Obesity 
Immobilisation 
Surgery 
Varicose vein 
Pregnancy
IBD 
Trauma 
Vasculitis
Certain drugs (IV drug users)