{"id":9646,"date":"2021-12-28T17:54:54","date_gmt":"2021-12-28T15:54:54","guid":{"rendered":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/"},"modified":"2022-02-13T19:02:54","modified_gmt":"2022-02-13T17:02:54","slug":"deep-vein-thrombosis-chronic-vein-insufficiency","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/","title":{"rendered":"Deep vein thrombosis, chronic vein insufficiency"},"content":{"rendered":"\n

Deep vein thrombosis<\/h3>\n<\/span>\n\n\n

DVT is the occlusion of a vein due to clotting, typically in the lower limb.<\/p>\n\n\n\n

  • DVT is the most common cause for PE.<\/li>
  • The limb is edematous, warm, tender, and the patient may have fever.<\/li>
  • Contributing factors include hypercoagulability disorders, prolonged sitting (airplanes), cancer, smoking, obesity, contraceptives, pregnancy, among others.<\/li>
  • Differential diagnosis includes trauma, cellulitis, Baker’s cyst. <\/li><\/ul>\n\n\n<\/span>\n

    Diagnosis<\/h4>\n<\/span>\n\n\n
    • Homans sign: <\/strong>Dorsiflexion of the foot leads to pain behind the knee<\/li>
    • Pratt’s sign:<\/strong> Squeezing the posterior calf elicits pain<\/li>
    • Venous ultrasound<\/li>
    • D-dimer test<\/li>
    • Wells’ score<\/strong>
      • Calculates the risk for the presence of DVT (>3 points = high risk)<\/li>
      • Based on the presence of significant limb swelling, cancer, prolonged bed-rest, pitting edema, previous DVT, paralysis etc.<\/li><\/ul><\/li><\/ul>\n\n\n<\/span>\n

        Treatment<\/h4>\n<\/span>\n\n\n

        The treatment is mainly aimed at preventing PE and DVT recurrence and includes heparin (5-7 days), followed by warfarin (long-term).<\/p>\n\n\n\n

        • Fibrinolysis can be used in patients with a low risk of bleeding.<\/li>
        • In patients who cannot use anticoagulants and in patients with recurrent DVTs in spite of treatment, IVC filter<\/strong> can be used.<\/li><\/ul>\n\n\n<\/span>\n

          Chronic venous insufficiency<\/h3>\n<\/span>\n\n\n

          Chronic venous insufficiency is a condition in which the capacity of venous outflow of veins (especially in the legs) decreases, leading to congestion.<\/p>\n\n\n\n

          • Elevated intravascular pressure leads to vessel dilation, edema, inflammation, and eventually, ulcer formation.<\/li>
          • The contributing factors include genetics, hormones, lifestyle, obesity, varicose veins.<\/li>
          • Patients present with a “heavy foot”-feeling, paresthesia, pruritus, night leg cramps, and dull pain.<\/li>
          • Can be diagnosed clinically, and confirmed using vascular ultrasound.<\/li>
          • The CEAP classification<\/strong> rates the clinical severity of the disease (c<\/strong>linical manifestation, e<\/strong>tiology, a<\/strong>natomy, p<\/strong>athophysiology).<\/li><\/ul>\n\n\n<\/span>\n

            Treatment<\/h4>\n<\/span>\n\n\n
            • Weight loss<\/li>
            • Exercise<\/li>
            • Compression socks<\/li>
            • Flavonoids<\/li>
            • Rutosids<\/li>
            • Sclerotherapy<\/li>
            • Varicectomy<\/li>
            • Ulcer to be treated by pressure therapy, negative pressure therapy, removal of dead tissue, and grafting.<\/li><\/ul>\n<\/span>

              Deep vein thrombosis<\/h3>

              Diagnosis<\/h4>

              Treatment<\/h4>

              Chronic venous insufficiency<\/h3>

              Treatment<\/h4><\/div>","protected":false},"excerpt":{"rendered":"

              Deep vein thrombosis DVT is the occlusion of a vein due to clotting, typically in the lower limb. DVT is the most common cause for PE. The limb is edematous, warm, tender, and the patient may have fever. Contributing factors include hypercoagulability disorders, prolonged sitting (airplanes), cancer, smoking, obesity, contraceptives, pregnancy, among others. Differential diagnosis […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":410,"menu_order":26,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-9646","page","type-page","status-publish","hentry"],"yoast_head":"\nDeep vein thrombosis, chronic vein insufficiency – Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/deep-vein-thrombosis-chronic-vein-insufficiency\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/deep-vein-thrombosis-chronic-vein-insufficiency\\\/\",\"name\":\"Deep vein thrombosis, chronic vein insufficiency – Meddists\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/#website\"},\"datePublished\":\"2021-12-28T15:54:54+00:00\",\"dateModified\":\"2022-02-13T17:02:54+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/deep-vein-thrombosis-chronic-vein-insufficiency\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/deep-vein-thrombosis-chronic-vein-insufficiency\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/deep-vein-thrombosis-chronic-vein-insufficiency\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\\\/\\\/meddists.com\\\/learn\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clinical\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Internal medicine\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Cardiology\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/cardiology\\\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Deep vein thrombosis, chronic vein insufficiency\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/#website\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/\",\"name\":\"Meddists\",\"description\":\"Let's Get Studying\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/meddists.com\\\/learn\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Deep vein thrombosis, chronic vein insufficiency – Meddists","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/","twitter_misc":{"Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/","url":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/","name":"Deep vein thrombosis, chronic vein insufficiency – Meddists","isPartOf":{"@id":"https:\/\/meddists.com\/learn\/#website"},"datePublished":"2021-12-28T15:54:54+00:00","dateModified":"2022-02-13T17:02:54+00:00","breadcrumb":{"@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/deep-vein-thrombosis-chronic-vein-insufficiency\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/meddists.com\/learn\/"},{"@type":"ListItem","position":2,"name":"Clinical","item":"https:\/\/meddists.com\/learn\/clinical\/"},{"@type":"ListItem","position":3,"name":"Internal medicine","item":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/"},{"@type":"ListItem","position":4,"name":"Cardiology","item":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/cardiology\/"},{"@type":"ListItem","position":5,"name":"Deep vein thrombosis, chronic vein insufficiency"}]},{"@type":"WebSite","@id":"https:\/\/meddists.com\/learn\/#website","url":"https:\/\/meddists.com\/learn\/","name":"Meddists","description":"Let's Get Studying","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/meddists.com\/learn\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/9646","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/comments?post=9646"}],"version-history":[{"count":8,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/9646\/revisions"}],"predecessor-version":[{"id":10607,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/9646\/revisions\/10607"}],"up":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/410"}],"wp:attachment":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/media?parent=9646"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}