Deep venous thrombosis - Revision history

Danbot: Strip excess bold text

2026-03-22T09:24:03Z

Strip excess bold text

← Revisión anterior		Revisión del 09:24 22 mar 2026
Línea 56:		Línea 56:

	==Management==		==Management==
	''The distinction between distal and proximal relates to veins below and above the knee respectively.<ref>Gualtiero P. How I treat isolated distal deep vein thrombosis (IDDVT). Blood 2014 123:1802-1809; doi: https://doi.org/10.1182/blood-2013-10-512616</ref> Patients with ~~'''~~superficial venous thromboses such as the long saphenous and short saphenous are at risk of developing a ~~DV'''T~~, especially in patients who have a history of prior [[DVT]] although management with anticoagulation is controversial.<ref>Litzendorf ME. Satiani B. Superficial Venous thrombosis:disease progression and evolving treatment approaches. Vasc Health Risk Manag. 2011(7). 569-575</ref>''		''The distinction between distal and proximal relates to veins below and above the knee respectively.<ref>Gualtiero P. How I treat isolated distal deep vein thrombosis (IDDVT). Blood 2014 123:1802-1809; doi: https://doi.org/10.1182/blood-2013-10-512616</ref> Patients with superficial venous thromboses such as the long saphenous and short saphenous are at risk of developing a DVT, especially in patients who have a history of prior [[DVT]] although management with anticoagulation is controversial.<ref>Litzendorf ME. Satiani B. Superficial Venous thrombosis:disease progression and evolving treatment approaches. Vasc Health Risk Manag. 2011(7). 569-575</ref>''
	===Proximal DVT===		===Proximal DVT===
	''Proximal veins are the ~~'''~~external iliac~~'''~~, ~~'''~~common femoral~~'''~~, ~~'''~~greater saphenous~~'''~~, ~~'''~~profound (deep) femoral~~'''~~, ~~'''~~(superficial) femoral vein~~'''~~, ~~'''~~popliteal vein~~'''~~''		''Proximal veins are the external iliac, common femoral, greater saphenous, profound (deep) femoral, (superficial) femoral vein, popliteal vein''
	*If NO phlegmasia cerulea dolens:		*If NO phlegmasia cerulea dolens:
	**Anticoagulate with [[apixaban]], [[rivaroxaban]], or [[heparin]]/[[coumadin]] x 3 months		**Anticoagulate with [[apixaban]], [[rivaroxaban]], or [[heparin]]/[[coumadin]] x 3 months
Línea 78:		Línea 78:

	===Distal DVT===		===Distal DVT===
	''Distal veins are the ~~'''~~anterior tibial~~'''~~, ~~'''~~posterior tibial~~'''~~, ~~'''~~peroneal~~'''~~, ~~'''~~gastrocnemius, soleus.~~'''~~''		''Distal veins are the anterior tibial, posterior tibial, peroneal, gastrocnemius, soleus.''
	*Symptomatic		*Symptomatic
	**Anticoagulate with [[apixaban]], [[rivaroxaban]], or [[heparin]]/[[coumadin]] x 3 months		**Anticoagulate with [[apixaban]], [[rivaroxaban]], or [[heparin]]/[[coumadin]] x 3 months

Danbot: Move calculators to own section with header (visible in TOC), expanded, before External Links

2026-03-21T15:06:59Z

Move calculators to own section with header (visible in TOC), expanded, before External Links

← Revisión anterior		Revisión del 15:06 21 mar 2026
Línea 187:		Línea 187:
	*[[DVT ultrasound]]		*[[DVT ultrasound]]
	*[[Paget-Schroetter syndrome]]		*[[Paget-Schroetter syndrome]]

			== Calculators ==
			{{Wells_DVT_Calculator}}

	==External Links==		==External Links==
Línea 195:		Línea 198:
	==References==		==References==
	<references/>		<references/>


	~~<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">~~
	~~<div style="font-weight:bold;">📊 Wells Score for DVT Calculator [show]</div>~~
	~~<div class="mw-collapsible-content">~~
	~~{{Wells_DVT_Calculator}}~~
	~~</div>~~
	~~</div>~~
	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Vascular]]		[[Category:Vascular]]

Danbot: Add Wells Score for DVT calculator (collapsible)

2026-03-21T13:42:19Z

Add Wells Score for DVT calculator (collapsible)

← Revisión anterior		Revisión del 13:42 21 mar 2026
Línea 196:		Línea 196:
	<references/>		<references/>


			<div class="mw-collapsible mw-collapsed" style="border:1px solid #aaa; padding:5px; margin-top:10px;">
			<div style="font-weight:bold;">📊 Wells Score for DVT Calculator [show]</div>
			<div class="mw-collapsible-content">
			{{Wells_DVT_Calculator}}
			</div>
			</div>
	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Vascular]]		[[Category:Vascular]]

Rossdonaldson1: /* Evaluation */

2025-02-05T19:37:02Z

Evaluation

← Revisión anterior		Revisión del 19:37 5 feb 2025
Línea 39:		Línea 39:
	[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]		[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]
	[[File:Deep vein thrombosis distally to the great saphenous vein, labeled.jpg\|thumb\|DVT of the common femoral vein on [[DVT ultrasound]].]]		[[File:Deep vein thrombosis distally to the great saphenous vein, labeled.jpg\|thumb\|DVT of the common femoral vein on [[DVT ultrasound]].]]
			[[ File:Iliac vein deep vein thrombosis.jpg\|thumb\|Iliac vein vein thrombosis, which constitutes a DVT in the pelvis.]]
	===Lower Extremity===		===Lower Extremity===
	*Clinical exam		*Clinical exam

Rossdonaldson1: /* Evaluation */

2025-02-05T17:53:52Z

Evaluation

← Revisión anterior		Revisión del 17:53 5 feb 2025
Línea 38:		Línea 38:
	[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]		[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]
	[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]		[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]
			[[File:Deep vein thrombosis distally to the great saphenous vein, labeled.jpg\|thumb\|DVT of the common femoral vein on [[DVT ultrasound]].]]
	===Lower Extremity===		===Lower Extremity===
	*Clinical exam		*Clinical exam

Rossdonaldson1: /* Evaluation */

2025-02-05T17:50:25Z

Evaluation

← Revisión anterior		Revisión del 17:50 5 feb 2025
Línea 37:		Línea 37:
	==Evaluation==		==Evaluation==
	[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]		[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]
	[[[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]		[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]
	===Lower Extremity===		===Lower Extremity===
	*Clinical exam		*Clinical exam

Rossdonaldson1: /* Evaluation */

2025-02-05T17:48:26Z

Evaluation

← Revisión anterior		Revisión del 17:48 5 feb 2025
Línea 37:		Línea 37:
	==Evaluation==		==Evaluation==
	[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]		[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]
	[[[[File:DVT in the Femoral Vein.png\|~~400px~~\|DVT of the femoral vein on [[DVT ultrasound]]]]		[[[[File:DVT in the Femoral Vein.png\|thumb\|DVT of the femoral vein on [[DVT ultrasound]]]]
	===Lower Extremity===		===Lower Extremity===
	*Clinical exam		*Clinical exam

Rossdonaldson1: /* Evaluation */

2025-02-05T17:47:50Z

Evaluation

← Revisión anterior		Revisión del 17:47 5 feb 2025
Línea 37:		Línea 37:
	==Evaluation==		==Evaluation==
	[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]		[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]
			[[[[File:DVT in the Femoral Vein.png\|400px\|DVT of the femoral vein on [[DVT ultrasound]]]]
	===Lower Extremity===		===Lower Extremity===
	*Clinical exam		*Clinical exam

Rossdonaldson1: /* Evaluation */

2025-02-05T17:45:17Z

Evaluation

← Revisión anterior		Revisión del 17:45 5 feb 2025
Línea 37:		Línea 37:
	==Evaluation==		==Evaluation==
	[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]		[[File:DVT-clinical-algorithm.jpg\|thumbnail\|ACEP DVT Evaluation Algorithm]]
			===Lower Extremity===
	*Clinical exam		*Clinical exam
	*Risk stratification for further testing indicated using, e.g. Modified Wells Score		*Risk stratification for further testing indicated using (e.g., see Modified Wells Score below)
			**Consider [[D-dimer]]
			**Consider [[DVT ultrasound]]

	{{Modified Wells Score}}		{{Modified Wells Score}}

	===Upper ~~extremity DVT~~===		===Upper Extremity===
	''Requires [[DVT ultrasound\|ultrasound]] for diagnosis. Cannot be ruled out with d-dimer.<ref>Kucher N. Clinical practice Deep-vein thrombosis of the upper extremities. N Engl J Med. 2011;364:861–869.</ref>''		''Requires [[DVT ultrasound\|ultrasound]] for diagnosis. Cannot be ruled out with d-dimer.<ref>Kucher N. Clinical practice Deep-vein thrombosis of the upper extremities. N Engl J Med. 2011;364:861–869.</ref>''
	*Generally involves axillary or subclavian veins		*Generally involves axillary or subclavian veins

Rossdonaldson1: /* Upper extremity DVT */

2025-02-05T17:43:55Z

Upper extremity DVT

← Revisión anterior		Revisión del 17:43 5 feb 2025
Línea 44:		Línea 44:
	===Upper extremity DVT===		===Upper extremity DVT===
	''Requires [[DVT ultrasound\|ultrasound]] for diagnosis. Cannot be ruled out with d-dimer.<ref>Kucher N. Clinical practice Deep-vein thrombosis of the upper extremities. N Engl J Med. 2011;364:861–869.</ref>''		''Requires [[DVT ultrasound\|ultrasound]] for diagnosis. Cannot be ruled out with d-dimer.<ref>Kucher N. Clinical practice Deep-vein thrombosis of the upper extremities. N Engl J Med. 2011;364:861–869.</ref>''


	*Generally involves axillary or subclavian veins		*Generally involves axillary or subclavian veins
	*Primary upper extremity DVT typically presents in young healthy individuals		*Primary upper extremity DVT typically presents in young healthy individuals