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Re: suspected DVTFrom: James W. Banks, M.D. (jwbanks@roanoke.infi.net)Mon Oct 30 09:35:42 1995
>Re the 17 y.o. with equal sized legs and pain - I would not start her on >heparin in light of her lack of risk factors other than pregnancy until mpore >data became available. What's the rush? > >david >David Nagey -University of Maryland School of Medicine -dnagey@c3p0.ab.umd.edu >(410) 328-5957, FAX (410) 328-8389, beeper (410) 389-9097 > >> >We would not treat this patient before the diagnosis was confirmed >by either ultrasound alone or (with an equivocal US picture) by >venography. These examinations are available to us also at non- >office hours. > >Mats Bergstrom, MD >Ob Gyn >South Hospital >Stockholm > I appreciate David's and Mats' response. I am puzzled that niether would treat overnight while awaiting studies in AM given the relative safety of Heparin versus the risk of PE (especially since we put the patient at bedrest and theoretically increase her risk for thrombosis).Of course, if inactivity is a risk for DVT, why don't we heparinize OB patients who are put at bedrest for whatever reason? By the way, she does indeed have DVT by doppler flow studies. How would you manage her heparin in the long-term and when would you allow her to resume relatively normal activities? James W. Banks, M.D. Assoc Director Medical Education Southeast Roanoke Family Medical Center 2145 Mount Pleasant Blvd., SE Roanoke, VA 24014 jwbanks@roanoke.infi.net (703) 427-3024 (office 1) (703) 992-4100 (office 2) (703) 992-6669 FAX
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