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PATHOPHYSIOLOGY
- inflammation, injury (intrinsic/extrinsic)
- thrombus formation
- platelet aggregation
- accumulation of clotting factors & platelets
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DIAGNOSIS
- doppler US
- serum d-dimer
- coagulation studies
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EPIDEMIOLOGY
- 80 cases per 100,000 population occurs annually
- 600,000 hospitalization per year
- approximately 1 person in 20 develops DVT in their lifetime
- four fold higher in the elderly population
- male-to-female ratio is 2:1, indicating males have a higher risk
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CLINICAL PRESENTATION
- pain or tenderness
- edema/swelling
- redness
- warmth over the area of thrombosis
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TREATMENT
- anticoagulation
- coumadin
- heparin
- thrombolytic therapy
- IVC (inferior vena cava filter
- compression stockings, ambulation