VTE by Dr Celine T Aquino - Philippine College of Physicians

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Clinical Scoring System for DVTActive cancer (treatment or palliation w/in 6 months 1Paralysis, paresis or recent (4 weeks) plaster immobilization 1Recently bedridden > 3days &/or major surgery w/in 4 weeks 1Localized tenderness along distribution of deep vein 1Thigh and calf swollen 1Calf swelling 3 cm greater than unaffected side (measured 10 cmbelow tibial tuberosityPitting edema on symptomatic leg only 1Dilated superficial vein (non-varicose) in symptomatic leg only 11CTA* Score minus 2 if an alternative diagnosis is availableHigh probability > 3 ptsModerate probability 1-2 ptsLow < 0Wells PS, Hirsch J etal.J Intern Med 1998; 243:15-23
“Combined” Wells & Geneva scoringfor prediction of PE:1) Hemoptysis2) Tachycardia3) Malignancy4) Age > 65 years5) History of VTE6) Recent immobilization7) Current symptoms of DVT> 4: PE likely< 4: PE unlikelyCTAWells PS, Anderson DR etalThromb Haemost 2000Le Gal G, Righini M etal(revised Geneva Score)Ann Intern Med 2006
Page 1 and 2: DISCLOSURESSPEAKERS BUREAU: ASTRA Z
Page 3 and 4: OBJECTIVESTo define the problem of
Page 5 and 6: ANY “ACTIVATION” OF VIRCHOW’S
Page 7: WHO ARE AT RISK?HYPERCOAGULABILITY*
Page 10 and 11: So … what IS the problem?VTE is
Page 12 and 13: CTAVENOUS THROMBOEMBOLISM
Page 14 and 15: Is this problem prevalent ?VTE risk
Page 16 and 17: What is the implication for theclin
Page 18 and 19: How should we approach the problemo
Page 22 and 23: PERC (Pulmonary EmbolismRule-out Cr
Page 24 and 25: HAS-BLED scoring for estimationof B
Page 26 and 27: L LDLL L LDL LDLARTERIALTHROMBOSISF
Page 28 and 29: L LDLL L LDL LDLARTERIALTHROMBOSISA
Page 30 and 31: HEPARINorRelatedFRIENDORFOEdrugsCTA
Page 32 and 33: CTAAre all critical care patientsca
Page 34 and 35: CURRENT STANDThe American College o
Page 36 and 37: Admitted formedicalillnessAssess fo
Page 38 and 39: CTAPRIMUM NONNOCERE

VTE by Dr Celine T Aquino - Philippine College of Physicians

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