EM Cases · Deep vein thrombosis
Suspected DVT pathway — resus teaching station
ACEM OSCE on two-level Wells, age-adjusted D-dimer, empiric anticoagulation when US delayed, and phlegmasia escalation.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Wells-likely leg swelling with delayed ultrasound, then phlegmasia.
Station brief
Format. Clinical-management station, 11 minutes.[3]
References3ShowHide
- [1]Wells PS, Anderson DR, Bormanis J, et al. Value of assessment of pretest probability of deep-vein thrombosis in clinical management. Lancet, 1997.PMID 9428249
- [2]Kearon C, Akl EA, Ornelas J, et al. Antithrombotic therapy for VTE disease: CHEST guideline and expert panel report. Chest, 2016.PMID 26867832
- [3]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.