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> Venous thromboembolism assessment
Venous thromboembolism assessment
1. Patient History
Review medical history for previous VTE
Assess for family history of thromboembolism
Document recent surgeries or hospitalizations
Evaluate for recent trauma or immobility
Inquire about current medications (e.g., anticoagulants, contraceptives)
Assess for comorbid conditions (e.g., cancer, heart disease)
2. Risk Factor Evaluation
Identify major risk factors (e.g., age, obesity, smoking)
Assess for minor risk factors (e.g., long-distance travel, hormonal therapy)
Evaluate for inherited thrombophilias
Review lifestyle factors (e.g., sedentary behavior, diet)
3. Clinical Signs and Symptoms
Assess for unilateral leg swelling
Evaluate for pain or tenderness in the leg (Homan's sign)
Examine for changes in skin color or temperature
Check for signs of pulmonary embolism (e.g., shortness of breath, chest pain)
4. Diagnostic Testing
Order D-dimer testing if clinically indicated
Consider ultrasound imaging of the affected limb
Evaluate the need for CT pulmonary angiography if PE is suspected
Discuss the option for venography if other tests are inconclusive
5. Risk Assessment Tools
Utilize scoring systems (e.g., Wells score, Padua prediction score)
Calculate the patient's risk of VTE based on established criteria
6. Treatment Plan
Determine the need for anticoagulation therapy
Discuss options for mechanical prophylaxis if indicated
Plan for follow-up and monitoring of treatment efficacy and safety
7. Patient Education
Educate the patient about VTE signs and symptoms
Discuss the importance of adherence to treatment
Provide information on lifestyle modifications to reduce risk
Ensure understanding of follow-up care and whom to contact for concerns
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