A patient with established DVT in Right Leg post surgery gets a IVC filter done. Now he is operated upon the same leg but gets DVT on the other leg... What are the possible causes and management plan for this patient.. Guidelines?
Any special tests to be considered for repeated clot formation despite mobilisation
most probably this patient has some sort of hypercoagulopathy, protein S or C deficiency . Was he well anticoagulated after the first DVT. I expect he recieved prophylactic anticoagulation preop. He will need lifelong anticoag.
It's a serious issue and the patient would require prolonged anticoagulation and close monitoring.
Age and gender of the patient ?
Any work up on Autoimmune disorders?
ANA, Anti Cardiolipin antibodies, anti Beta2GP-I antibodies to rule out Anti Phospholipid syndromes, Add on others for Hypercoagulable Syndrome viz, LAC, Anti Thrombin III, Factor V Leyden Defect( Molecular) Protein C and Protein S
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