DVT

1. Clinical Presentation

1.1. Redness

1.2. Warmth around lower extremity

1.3. Pain

1.4. Edema

1.5. Pain and tenderness to calf or knee

1.6. Claudication

2. Pathophysiology

2.1. Trauma to lower extremity

2.1.1. Clots form near valves in the veins

2.2. Poor venous return

2.2.1. Age

2.2.2. Congestive heart failure

2.2.3. Immobility

2.3. Clots form near valves in veins due to accumulation of clotting factors

2.3.1. Inflammation causes pain and redness

3. Risk Factors

3.1. Age

3.2. Congestive heart failure

3.3. Immobility

3.4. Trauma

4. Epidemiology

4.1. Age

4.2. Sex

4.3. Race

4.4. Activity

4.5. Obesity

5. Diagnosis

5.1. Physical Exam of lower extremities

5.2. Venous Doppler Ultra sound of lower extremities

5.3. D dimer lab to detect DVT

6. Treatment

6.1. Anticoagulation

6.1.1. IM heparin

6.1.2. PO Warfarin

6.2. Physical Therapy

6.3. Surgery

6.3.1. Vein stripping

6.3.2. Filter placement in Vena Cava