9/10/2023 0 Comments Deep vein thrombosis testAge: patients aged over 50 are at an increased risk.Perform a brief general inspection of the patient, looking for risk factors for venous thromboembolism such as: 1,2 Gain consent to proceed with the examination and establish that the examination can be stopped at any point.Īdjust the head of the bed to a 45° angle and ask the patient to lay on the bed.Īdequately expose the patient’s lower limbs.Īsk the patient if they have any pain before proceeding with the clinical examination. Introduce yourself including your name and role.Ĭonfirm the patient’s name and date of birth.īriefly explain the examination using patient-friendly language. The following clinical features are red flags for the development of a PE: These signs are most often unilateral unless the DVT has occurred on both sides.Ī pulmonary embolism is a life-threatening complication of DVTs. Pain (often cramping, may progress over several days).Typical clinical features of a DVT include: Immobility (hospitalised patients, long flights)Įndothelial injury (a state in which there has been damage to the vascular wall).Stasis (a state in which blood flows slowly or becomes turbulent). Hypercoagulability (a state in which blood coagulates quicker than usual). Pathophysiology and risk factorsįactors that contribute to the development of VTE can be summarised using Virchow’s triad, which consists of: PEs and DVTs are both types of venous thromboembolism (VTE). If this thrombus becomes dislodged, it becomes an embolus and can travel to the lungs causing a pulmonary embolism (PE). You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation.Ī deep vein thrombosis (DVT) refers to the formation of a thrombus within the deep venous system, most often occurring in the veins of the leg but also in the pelvis and arm.
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