1. D e e p Ve inTh ro m b o sis Jo nath an Fle u rat Bo sto n M
e d ical C e nte r H u e , Ap ril 2 01 2
2. Facts ab o u t D VTs Lower-extremity DVT is the most common
site a prevalence of 1:1000 population Source of 90% of acute PEs
cause 25,000 deaths per year in the US
3. Ve no u s Anato m yS yste m o f p u m p s andvalve s
4. StrokeAcute myocardial infarction RisksCongestive heart
failureSepsisIntravenous (IV) drug abuseOral
contraceptivesEstrogensLESS COMMONNephrotic syndrome Ulcerative
colitis Multiple traumaCNS/spinal cord injuryBurnsLower extremity
fracturesSystemic lupus erythematosus (SLE) and the lupus
anticoagulantBehet syndrome
5. Pre se ntatio n Le g Pain in 5 0% as ch ie f co m p laint (H
o m ans sig n) Te nd e rne ss in 75 % Ed e m a o nly if co m p le
te o b stru ctio n U nilate ral o r b ilate ral (h ig h e r o b
structio n- iliacs) O nly 1 0% o n p u lm o nary e m b o lism s p
re se nt classically
6. U ltro uso u ndTe ch niq ue
7. Po p lite alC o m p re ssio n
8. Th ro m b o sis o f C o m m o nFe m o ral Ve in
