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Upper Extremity Venous Thrombosis - Management and Anatomy

Deep - Superficial - Catheter Associated

#UpperExtremity #Veins #Venous #Thrombosis
Upper Extremity ... Superficial #Deep #VTE ... Management #Anatomy #Anticoagulation
Recurrent / Breakthrough DVT During Anticoagulation

Subtherapeutic Anticoagulation
Hypercoagulable State 
 - Antithrombin deficiency 
 - Hypercoagulability ot
Subtherapeutic Anticoagulation ... Behcet's disease - APLS ... Recurrent #DVT #VTE ... #anticoagulation ... #hematology #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
vegetations can also ... Marantic (NTBE) Differential ... cultures • 2D Echo TTE ... • TTE nondiagnostic ... cause + Systemic anticoagulation
Clotmaster Consensus 2019: Duration of Therapy for Venous Thromboembolic Disease
 • Superficial Venous Thrombosis
 • Upper
Thrombosis • Upper ... Extremity DVT: ... or more lower extremity ... DeLoughery @Bloodman #VTE ... #anticoagulation
Amyotrophic Lateral Sclerosis (ALS) Summary
ALS: combination of the clinical examination finding of amyotrophy with the pathologic
Lateral Sclerosis (ALS ... body segment: Upper ... extremity, lower ... extremity and/or ... conditions listed in differential
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... and Differential ... vegetations can also ... cause + Systemic anticoagulation ... #Differential #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
to perform own ADLs ... dependent DM ACS ... Anticoagulation ... • <3mo since VTE ... undergoing AAA or upper
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... inflammation of the upper ... disease Differential ... in extremities, upper ... extremity claudication
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
antibiotics TLS ... low Ca - q8 h TLS ... compression: - Lower-extremity ... swelling, dyspnea, upper-extremity ... stenting - Consider anticoagulation