13 results
Venous Thromboembolism Treatment Algorithm
Branch points: 
Active bleeding?  Active malignancy? Provoked?

- Dr. Joseph Shatzel
@Clotmaster

#Management #VTE #DVT
Active malignancy ... #Management #VTE ... #DVT #Algorithm ... Thromboembolism #Treatment #Hematology ... #Anticoagulation
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
/ Breakthrough DVT ... Structural - Pelvic masses ... #VTE #anticoagulation ... #hematology #differential ... #algorithm
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis.

Currently, edoxaban and rivaroxaban are the only
stratification algorithm ... DVT = deep vein ... thrombosis; PE = pulmonary ... #DOAC #VTE #Malignancy ... #Anticoagulation
Causes of Breakthrough/Extension of Thrombosis and Management Algorithm

#Anticoagulation #Breakthrough #Thrombosis #Algorithm #Extension #VTE #DVT #Hematology #Management
Causes of Breakthrough ... #Anticoagulation ... #Extension #VTE ... #DVT #Hematology ... #Management #Diagnosis
Treatment algorithm for VTE in Malignancy

(A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
for VTE in Malignancy ... and incidental DVT ... without concomitant DVT ... #DOAC #VTE #Malignancy ... #Anticoagulation
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
trauma, active malignancy ... an established malignancy ... - No other workup ... #hematology #diagnosis ... #algorithm #hematology
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Causes of Peripheral ... Weakness • Cardio-pulmonary ... Infection • Malignancy ... Polymyositis • Duchenne ... #Algorithm #Causes
Approach to determining the cause of a blood clot
1) Is it acquired?
2) Should you consider inheritable
determining the cause ... for undiagnosed malignancy ... BloodClot #Thrombosis #DVT ... #VTE #diagnosis ... #causes #workup
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... Respiratory: • Pulmonary ... Tachyarrhythmia: • VT ... #Algorithm #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Non-Infectious (NTBE): • Malignancy ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Treat underlying cause ... + Systemic anticoagulation