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Deep vein thrombosis (DVT)

Also known as DVT and Deep Thrombophlebitis

Deep vein thrombosis, or deep venous thrombosis, (DVT) is the formation of a blood clot (thrombus) in a deep vein, predominantly in the legs. Non-specific signs may include pain, swelling, redness, warmness, and engorged superficial veins. Pulmonary embolism, a potentially life-threatening complication, is caused by the detachment (embolization) of a clot that travels to the lungs. Together, DVT and pulmonary embolism constitute a single disease process known as venous thromboembolism. Post-thrombotic syndrome, another complication, significantly contributes to the health-care cost of DVT.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with deep vein thrombosis (dvt), 66% report having leg pain, 57% report having leg swelling, and 15% report having abnormal appearing skin. The symptoms that are highly suggestive of deep vein thrombosis (dvt) are leg swelling, leg stiffness or tightness, and disturbance of smell or taste, although you may still have deep vein thrombosis (dvt) without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with deep vein thrombosis (dvt) often receive hematologic tests, complete blood count, radiographic imaging procedure, glucose measurement, electrolytes panel, kidney function tests, intravenous fluid replacement and prothrombin time assay .

Common Medications

The most commonly prescribed drugs for patients with deep vein thrombosis (dvt) include warfarin, enoxaparin (lovenox), heparin, dalteparin (fragmin), fondaparinux (arixtra), goserelin (zoladex), salsalate, pyridostigmine (mestinon), ichthammol topical, eltrombopag (promacta), nystatin-triamcinolone topical, ixabepilone (ixempra) and ibutilide .

Who is at risk?

Groups of people at highest risk for deep vein thrombosis (dvt) include age 75+ years age 60-74 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get deep vein thrombosis (dvt).

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.4x
30-44 years
1.0x
45-59 years
1.4x
60-74 years
1.7x
75+ years
2.0x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
1.3x
Hispanic
0.6x
White
1.0x
Other
0.6x
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