Thrombophlebitis

on 17.3.09 with 0 comments



  • can be difficult to diagnose

    • pain, swelling

    • Doppler ultrasound is the gold standard…but OS points out that angiography is the gold standard, and Doppler ultrasound is used frequently in clinical settings

    • MR points out “it’s a silver standard”

  • sometimes, a pulmonary embolus is the first manifestation

Diagram

  • thrombosed vein can resolve

  • or embolize to lung

  • or organize and become incorporated into wall

  • or organize and undergo recanalization—the formation of multiple lumina through the clot

Treatment

  • treat DVTs with anticoagulants

  • if this doesn’t work, insert a Greenfield filter, which prevents pulmonary emboli





Category: Medical Subject Notes , Pathology Notes

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