Deep vein thombosis

• What is a DVT?


  Formation of a thrombus in the deep venous system
• What are some risk factors for a DVT?


  Male

  Over 60

  Immobilisation

  Inflammation

  Malignancy

  Medication

  Obesity

  Pregnancy

  Previous VDT

  Recent trauma/surgery

  Smoking
• How can a DVT present?


  Cramping pain - exacerbated by exercise

  Swelling

  Skin changes

  Inc temp

  Tenderness
• What is used for a suspected DVT screening tool?


  Two level DVT Wells score
• What DVT Wells score means a DVT is likely?


  2+
• What investigations are done if a DVT is likely?


  Ultrasound of the leg

  D-dimer
• What investigations are done if a DVT is unlikely?


  D-dimer
• What are some DDx for DVT?


  Cellulitis

  Oedema

  Liver cirrhosis

  Ruptured Baker's cyst

  Trauma
• How is a DVT managed?


  DOAC - apixaban or rivaroxaban
• What is the duration for anticoagulants after a DVT?


  3 months