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Approximately 600,000new cases are diagnosed in
the U.S. each year
Thrombus formation in deep veins of legs or thighs
Tibial veins, soleal/gastrocnemius veins, popliteal vein
femoral vein, deep femoral vein,
common femoral vein, iliac veins.
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Approximately onethirddevelop pulmonary embolism
15%
Death
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Untreated !roximal"#T $0%0& ris' !(
)*)%& mortality
Treated "#T +& ris' !(
-ortality +*&
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ncidence USA/(urope "#T )60 per )00,000
Symptomatic nonfatal !( *0 per )00,000
1atal !( %0 per )00,000
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#irchow2s Triad Alterations in blood 3ow #enous Stasis
Alterations in blood constituents
#ascular endothelium damage
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!rincipal 4is' 1actors mmobili5ationTrauma Surgery
nfection !ostpartum period
ther 1actors Age
besity -alignancy !revious #T( #aricose #eins
"ehydration 7ormonal Therapy
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"#T Asymptomatic !ain/tenderness (rythema
Acute swelling !allor !hlegmasia
Alba 8yanosis
!hlegmasia
8erulea
!( "yspnea 9Tachypnea
"iaphoresis 7emoptysis :owgrade
fever !leuritic 8! 8ough
7ypotension 8oma 8;4 (
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#enography > exgold standard
"uplex Ultrasound 8omfortable
nexpensive ?o ris'
=ood sensitivity and speci@city for distal
:ess sensitive for proximal "#T
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A total of 46 family practitioners andgeneral internists,
95anatomists, and85 laboratory directors.
nly 24%))/B6C of the respondentswould have administered
anticoagulantsto the patient as described
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nly 3% (3/95) of anatomists felt theterm Dsuper@cial femoral
veinD wascorrect, 22%*)/E%C felt it was an
acceptable alternative, and only 7%F/E%C of anatomists felt the
term waspreferred for everyday use
The term Dsuper@cial femoral veinD is usedby 93%FE/%C of
vascular laboratories inlower limb venous duplex reports.
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The term Gsuper@cial femoralvein Gshould never be used,
becausethe femoral vein is in fact a deepvein and is not part of
the
super@cial venous system.8onfusion arising from use ofthe
inappropriate name hasbeen responsible for manycases of
clinicalmismanagement and death
-anagement of Gsuper@cialfemoral veinH thrombosis shouldbe the
same as any "#T
