Severe Deep Vein Thrombosis in Lower Extremity (Phlegmasia & Venous Gangrene)

Purpose: To evaluate a patient with deep vein thrombosis in a lower extremity for clinical findings associated with severe venous disease.

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Evaluation

Are you evaluating a patient with deep vein thrombosis in a lower extremity?

Yes

Is a compartment syndrome present in the extremity?

Yes

Is full thickness skin necrosis present?

Yes

Select an appropriate answer for each finding

Extent of swelling

Skin color

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Number of findings of concern in a patient with deep vein thrombosis

Does the patient have evidence of phlegmasia?

Does the patient have evidence of venous gangrene?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Criteria For Diagnosis
- IMPACTILL Model of Spyropoulos et al for Identifying a Hospitalized Medical Patient at Risk for Venous Thromboembolism
Severity, Prognosis, Stage

Monitoring

Complication Detection
- Risk Assessment Profile (RAP) of Greenfield et al for Venous Thromboembolism in Adult Trauma Patients
Comorbid Conditions
- Risk Assessment Profile (RAP) of Greenfield et al for Venous Thromboembolism in Adult Trauma Patients
- Risk Factors for Deep Vein Thrombosis in HIV Patient

Specialty

Hematology Oncology
Clinical Laboratory

Objective

clinical diagnosis
including family history for genetics

ICD-10

I80.2 - Phlebitis and thrombophlebitis of other deep vessels of lower extremities

Info

Purpose: To evaluate a patient with deep vein thrombosis in a lower extremity for clinical findings associated with severe venous disease.

Specialty: Hematology Oncology, Clinical Laboratory

Objective: clinical diagnosis, including family history for genetics

ICD-10: I80.2,

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