- See
Pulmonary Embolus
- Discussion of Deep Venous Thrombosis:
-
hypercoagulable states
-
coagulation pathway
-
dvt in hip frx and surgery:
-
dvt following thr:
-
dvt following tkr:
-
dvt / pe arising from trauma and fractures
- Clinical Signs for DVT:
- exam may be unreliable but positive findings should not be ignored;
- calf tenderness, swelling, fever, & increased pulse rate may be present
- suggestive exam features for
pulmonary embolism:
- sudden decrease in O2 saturation;
- tachypnea, cyanosis, and hypoxia;
- pulmonary consolidation, pleural effusion, wheeze, and cor pulmonale;
- new onset tachydysrhythmia (usually
a. fib);
- references:
-
Phlegmasia Cerulea Dolens.
-
A Sinister Development — A 35-year-old woman presented to the ER with a 2-day history of progressive swelling and pain in her left leg, w/o antecedent trauma
- Diagnostic Studies:
- Prophylatic Measures:
- Treatment of DVT
References
Comparison of Enoxaparin and Warfarin for the Prevention of Venous Thromboembolic Disease After Total Hip Arthroplasty. Evaluation During Hospitalization and Three Months After Discharge
CW Colwell et al JBJS July 1999, Vol 81-A, No 7.
Finding the right fit: Effective thrombosis risk stratification in orthopeadic patients.
JI Arcelus MD PhD et al. Orthopedics. Jun 2000. Vol 23. No 6. p 633.
Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty.
