Description

Girolami et al developed two flows chart to minimize the risk of thrombosis in women receiving oral contraceptive therapy (OCT). This can help keep women on oral contraceptive therapy thrombosis free. The authors are from the University of Padua in Italy.


 

Entry points:

(1) family history of thrombotic episodes (Figure 1, page 35)

(2) woman's personal history of thrombotic episodes (Figure 2, page 36)

Entry Point

History

Laboratory Test Findings

Decision

family history

negative

optional

OCT if personal history negative

 

positive with secondary cause

optional

OCT if personal history negative

 

positive, idiopathic

negative

short cycle OCT if personal history negative

 

positive, idiopathic

positive

no OCT

personal history

negative

optional

OCT if no other medical contraindications

 

positive with secondary cause

negative

short cycle OCT

 

positive with secondary cause

positive

no OCT

 

positive, idiopathic

negative

no OCT

 

positive, idiopathic

positive

no OCT

 


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