April 2018

Paper 12 - Venous Thromboembolism

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Ian L. -

Which Superficial vein thrombosis cases are sever enough to warrant Anticoagulation and for How Long
For example an Superficial vein thrombosis of the calf in a patient with cancer that is 5 cm long and red in a patient who has varicose veins ?

Anand S. -

Ian - great question with no certain answer. We covered more of this topic on EMRAP in 2016. Check that out
https://www.emrap.org/episode/newvenous/newvenous
In general, I'm most worried about superficial clots when they are near deep veins. If they're getting close, I would treat. Often this is done in conjunction with vascular or with the PCP weighing risks and benefits.

Anand S. -

One other link reviewing the topic
https://coreem.net/core/superficial-venous-thrombosis/

Wesley M. -

Love these LLSA reviews. On target!! Passed all three first time!

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