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Hormones 2016

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Deep Vein Thrombosis<br />

- You should also check your breasts while looking in a mirror looking for<br />

any change in size or contour, dimpling of the skin or spontaneous<br />

nipple discharge.<br />

- When standing upright in front of the mirror look at your breasts carefully.<br />

Look for any recent changes in the size or shape of your breasts.<br />

- Turn slowly from side to side, so that you can see all parts of your breasts.<br />

- Next put your hands on your head and look for any dimples or bulges<br />

in your breasts, particularly underneath. Dimples which are equal in<br />

size and shape and occur in both breasts are normally harmless.<br />

- Finally rest the palms of your hands on your hips and press down firmly<br />

while holding your shoulders back, this flexes your chest muscles.<br />

Again, look for any changes in appearance. By regular inspection you will<br />

see what is normal for you (Kimble, 2014).<br />

Deep Vein Thrombosis<br />

I have already mentioned DVT’s but I’m also aware that some people don’t<br />

know what a ’DVT’ is or how serious it may be. See also Blood clots.<br />

Deep vein thrombosis occurs when a blood clot forms in a vein lying<br />

beneath the deep tissue of the leg and obstructs the normal flow of the blood<br />

back to the heart. It can occur spontaneously or in association with other<br />

risk factors such as;-<br />

Age - the risk appears to increase significantly after the age of 60.<br />

Immobilisation - This may be permanent or a temporary risk. Examples<br />

include after a stroke, people in plaster casts following fractures, longdistance<br />

travel and postoperative recovery. Major surgery, especially<br />

if there was an operation on the abdomen or lower limb, is a common<br />

preventable cause.<br />

Surgery - most especially hip and knee replacements.<br />

Cardiac disease - increased in people who have cardiac disease.<br />

Previous history of DVT - A previous episode of DVT is the strongest risk<br />

factor for DVT with a five-fold increase over baseline risk.<br />

Family history of VTE<br />

Cancer<br />

Smoking<br />

BMI over 30 kg/m 2<br />

Male gender<br />

Acquired or familial thrombophilia<br />

Heart failure<br />

Varicose veins<br />

Trauma to the vein or chronic low-grade injury (vasculitis, stasis, chemotherapy)<br />

Dehydration<br />

243<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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