mjl1717
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Supericial thrombophlebitis--briefly, asssociated with supeficial veins, infection and inflammation, and very tender. It has a palpable cord and is Rxed with ASA and NSAID.
Has small chance of creating brain or pulmonary emboli because muscle can not push it.
Big time problems occur if it ever involves deep saphenous vein..[often from an I.V.]
DVT-- the pathology here is a thromboembolism based on the contoversial Virchows triad. Usually involve a DEEP vein surrounded by muscle to push the clot..Probability can be assed using Wells clinical guideline... Homans sign is not very specific. But unilateral edema, with swelling is seen. Usually the clot comes from the thigh possibly causing PE. Rx is with LMWH, lytics, Sx and stockings. Risk factors would be airplane travel, immobility, and Sx as wel as inheritable disorders. Dx is withD-Dimer, plethysmography, venography and MRI....PE which is the leading cause of in hospital mortality is one of the big differences.. Hope this helps.
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| DrPak
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What will be there in the clinical picture that will make thing think DVT and not superficial thrompheblitis?
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| chemamr
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DVT: edema, pain, redness, warmth, tenderness, dilated superficial venous pattern, although they can be asymptomatic. Clinical dx of DVT is neither sensitive nor specific. 3/4 of patients who present with suspected acute DVT have other causes of leg pain, such as cellulitis, leg trauma, muscular tear, postphlebitic sx, baker cyst, etc. Therefore noninvasive tests are required to establish a Dx. So, perhaps you can get confused based on the clinical findings, only.
more opinions are welcome...
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