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Introduction
Very Sociable
Guy
Chest Pain
Girl with a Rash
England 1944
Trouble Healing
Morning Stiffness
Bruises Easily
Shortness of
Breath
Drug Interactions
Review
Thanks to
Quiz Please |
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Diagnosis today
starts just the same as it always has, with the H & P.
- It may sound trite, but without an index of
suspicion and the H & P, you're nowhere.
- The laboratory will only confirm your
suspicions, it's not diagnostic.
- With one exception, PT and aPTT
will not be
abnormal.
- Prolonged aPTT in the case of
anticardiolipin antibody syndrome.
- D-dimer and other fibrin split
products will be elevated with thrombus formation, but this is
not especially diagnostic.
- Venous Doppler studies are probably most
diagnostic.
- To the right is a movie of an ultrasound
study showing a dangerous clot ready to break free.
- Should the thrombus
embolize to the lung, it isn't likely to be seen on a standard
X-Ray.
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So, the problem of positional stasis and thrombosis
has been around for a while, interesting.
What's next?
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