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Re: venous thrombosis. From: Yankowitz, Jerome (YankowitzJ@mail.medicine.uiowa.edu) Mon May 5 07:59:41 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Braun, R. Daniel: "Re: low match rate" Previous message: Gerald P. Rodriguez: "Re: GEN: New Yorkers Say Rein In Law Madness" Maybe in reply to: Dr. Ainsworth: "venous thrombosis." I would use a heparin > Jerome Yankowitz, MD > Director, Division of Maternal-Fetal Medicine > and Fetal Diagnosis and Treatment Unit > Dept of OB/GYN > Univ of Iowa Hospitals and Clinics > Telephone: 319-356-2574 > Fax No: 319-353-6759 > This e-mail, including attachments, may include confidential information that may be legally privileged, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. > ---------- > From: ainsron@sbcglobal.net > Reply To: ob-gyn-l@obgyn.net > Sent: Sunday, May 4, 2003 10:44 PM > To: Multiple recipients of list OB-GYN-L > Subject: Re: venous thrombosis. > > Yes, all were negative and there is no FH of DVT. > > >My gut says low dose heparin or Lovenox, as Jay suggested. > > > >What was in the workup? Tests for Factor V Leiden, Protein S, C, AT III, > >MTFR, etc.? > > > >Garry > > > >At Sun, 4 May 2003, Dr. Ainsworth wrote: > >> > >>I saw a patient last week, currently 8wks. She was on Ortho Evra for > >>six months, developed complete thrombosis of her left basilic vein in > >>February, the patch was discontinued, she was hospitalized for four > >>days, heparinized initially then switched to Coumadin. Once her > >>pregnancy was diagnosed, she was switched back to Heparin, 5000 units > >>BID by her PCP. A recent sonogram of her basilic vein shows that it is > >>now patent, but the sonographer reported a "thrombus in the vein." A w/u > >>for thrombophilias was negative. Does she need to continue on Heparin > >>throughout this pregnancy? My feeling is that superficial > >>thrombophlebitis of the upper extremities is certainly not the same > >>level of risk as DVT in the lower extremities and it is overkill to > >>continue Heparin. > > > >-- > >Garry E. Siegel, M.D. > >Private Practice > >Roswell, GA > > > Next message: Braun, R. Daniel: "Re: low match rate" Previous message: Gerald P. Rodriguez: "Re: GEN: New Yorkers Say Rein In Law Madness" Maybe in reply to: Dr. Ainsworth: "venous thrombosis."

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