Clinical Case Database / Category: Case Based Discussion
Deep vein thrombosis
Publication details
Dr Sanjay Dindyal BSc MBBS, Mr Shiva Dindyal BSc MBBS MRCS, Mr Constantinos Kyriakides MB ChB MD FRCS
Foundation Years Journal, volume 2, issue 8, p.24 (123Doc Education, London, October 2008)
Abstract
A 74-year-old man, with a past history of an above knee deep vein thrombosis (DVT), presented to his local hospital casualty department with a 2-day history of a swollen, red tender left calf. His left calf was markedly more swollen when compared to his right calf and was especially painful when walking. These symptoms appear to have initially started after disembarking from a long haul flght from Japan.
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Authors
Dr Sanjay Dindyal BSc MBBS
Core Surgical Trainee
Department of General Surgery
Derriford Hospital
Plymouth, UK
Mr Shiva Dindyal BSc MBBS MRCS (Corresponding author)
General Surgery Specialty Registrar/Vascular and Endovascular Research Fellow
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
Vascular and Endovascular Surgical Services
The Royal London Hospital
London E1 1BB
Mr Constantinos Kyriakides MB ChB MD FRCS
Consultant Vascular and Endovascular Surgeon
Barts and The London NHS Trust
Circulatory Sciences Clinical Academic Unit
London, UK
References
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3. Ebube O, Baker C, Teo J, Teo M. Rapid Surgery. Blackwell Publishing 2005.
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5. Kraaijenhagen RA, Lensing AW, Wallis JW, van Beek EJ, ten Cate JW, Buller HR. Diagnostic management of venous thromboembolism. Baillières Clin Haematol, 1998, 11:541-586.
6. De Valois JC, van Schaik CC, Verzijlbergen F, van Ramshorst B, Eikelboom BC, Meuwissen OJA. Contrast venography: from gold standard to “golden backup†in clinically suspected deep vein thrombosis. Eur J Radiol, 1990, 11:131-137.
7. Haemostasis and Thrombosis Task Force. Guidelines on oral anticoagulation. Br J Haematol, 1998, 101:374-387.
8. Van den Belt AGM, Prins MH, Lensing AWA, Castro AA, Clark OAC, Attalah AN, et al. Fixed dose subcutaneous low molecular weight heparins versus adjusted dose unfractionated heparin for venous thromboembolism in Cochrane Library, Issue 1. Oxford: Update Software, 2002.
9. Hughes P. Plymouth Hospital NHS Trust Clinical Guidelines 2008.
10. Brandjes DP, Buller HR, Heijboer H, Huisman MV, de Rijk M, Jagt H, et al. Randomised trial of effect of compression stockings in patients with symptomatic proximal-vein thrombosis. Lancet, 1997, 349:759-762.
11. THRIFT: BMJ, 1992, 305:567-574
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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