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WorksheetsDeep Vein Thrombosis
Total questions: 10
Worksheet time: 50mins
Which clinical presentation most alerts you to the probability of a DVT?
Highly active, 72 year old man with a positive Homan's sign without additional symptoms
Obese 78 year old female with a prior history of DVT
65 year old female without comorbities or risk factors
68 year old male, who feels mild calf tenderness after working in his flower beds 2 days ago
Select all factors that are included in Virchow's Triad
Venous Insufficiency
Vessel Injury
Hypercoagulability
Venous Stasis
What is the most common complaint of a DVT?
Swelling of the extremity involved
Muscle Tenderness
Calf pain
Low grade fever
Factors to consider using Well's Criteria include:
Swelling of entire affected extremity
Recent immobilization
calf swelling of 2cm
Active cancer
What does your initial testing include for a probable DVT?
Doppler US of LE
D-Dimer
MRI
The "gold standard" for diagnosing a DVT if a LE US is inconclusive is
MRI
CT
Ascending venogram
D-Dimer
What medication will be initiated on a patient with a confirmed DVT who does not have cancer?
Warfarin with INR goal of 2-3 and LMWH for 3-5 days until INR is >3
Long-term LMWH
Xarelto 15 mg Q day x 2 weeks then 10 mg Q day
Eliquis 10 mg BID x 7 days then 5 mg BID
Select all patients that can be managed on an outpatient basis.
65 year old active, competent male who lives with his wife 10 minutes from the hospital
35 year old female who is at 32 weeks gestation
68 year old male with controlled HTN
72 year old female with dementia who lives alone, but has a sitter at night
Prevention of a DVT includes:
Drinking 4 glasses of water daily
Exercising 5 days a week and getting up to walk every hour while sitting
Wearing compression stockings
Elevation of legs while sitting
A D-Dimer will definitively diagnose a DVT.
True
False
