Deep Vein Thrombosis (cont.)
Benjamin Wedro, MD, FACEP, FAAEM
Dr. Ben Wedro practices emergency medicine at Gundersen Clinic, a regional trauma center in La Crosse, Wisconsin. His background includes undergraduate and medical studies at the University of Alberta, a Family Practice internship at Queen's University in Kingston, Ontario and residency training in Emergency Medicine at the University of Oklahoma Health Sciences Center.
Melissa Conrad Stöppler, MD
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
William C. Shiel Jr., MD, FACP, FACR
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
In this Article
- Deep vein thrombosis (DVT) definition and facts
- What is deep vein thrombosis (DVT)?
- What does DVT (blood clot) look like?
- What are the signs and symptoms of deep venous thrombosis (DVT)?
- What are the signs and symptoms of superficial thrombophlebitis?
- What are the causes of deep vein thrombosis (DVT)?
- Hypercoagulability (coagulation of blood faster than usual)
- Who is at risk for developing deep vein thrombosis (DVT)?
- When should I seek medical care for deep vein thrombosis (DVT)?
- Which specialties of doctors treat deep vein thrombosis (DVT)?
- How is deep vein thrombosis (DVT) diagnosed?
- What are the treatment guidelines for deep vein thrombosis (DVT)?
- What is the treatment of superficial thrombophlebitis?
- What medications treat deep vein thrombosis (DVT)?
- Warfarin (Coumadin, Jantoven)
- What are the side effects and risks of anticoagulation therapy for DVT?
- What about surgery for deep vein thrombosis (DVT)?
- What are the complications of deep vein thrombosis (DVT)?
- Can deep vein thrombosis (DVT) be prevented?
- Find a local Cardiologist in your town
What are the signs and symptoms of deep venous thrombosis (DVT)?
The symptoms of deep vein thrombosis are related to obstruction of blood returning to the heart and causing a backup of blood in the leg. Classically, symptoms include:
- warmth, and
In the past health-care professionals would try to elicit a couple of clinical findings to make a diagnosis of a DVT in the leg. Dorsiflexion of the foot (pulling the toes towards the nose, or Homans' sign) and Pratt's sign (squeezing the calf to produce pain), have not been found effective in making a diagnosis. Now, health-care professionals don't usually rely upon whether these signs are present to make the diagnosis or decide that a DVT does not exist.
What are the signs and symptoms of superficial thrombophlebitis?
Blood clots in the superficial vein system most often occur due to trauma to the vein which causes a small blood clot to form. Inflammation of the vein and surrounding skin causes the symptoms similar to any other type of inflammation including
- tenderness, and
Often the affected vein can be palpated (felt) as a firm, thickened cord. There may be inflammation that follows the course of part of the vein.
Although there is inflammation, there is no infection.
Varicosities can predispose to superficial thrombophlebitis and varicose veins. This occurs when the valves of the larger veins in the superficial system fail (the greater and lesser saphenous veins), allowing blood to back up and cause the veins to swell and become distorted or tortuous. The valves fail when veins lose their elasticity and stretch. This can be due to age, prolonged standing, obesity, pregnancy, and genetic factors.
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