Search results for "Thrombosis"
MKSAP Quiz: Treatment of deep venous thrombosis
A 55-year-old woman is evaluated in the emergency department for right leg swelling and is diagnosed with a proximal deep venous thrombosis. Medical history is significant for end-stage kidney disease for which she is undergoing hemodialysis. What is the most appropriate anticoagulation treatment?
https://immattersacp.org/weekly/archives/2024/11/26/3.htm
26 Nov 2024
Parsing periop predicaments
Due to a lack of evidence for best perioperative procedures, clinicians have debated for decades how to address circumstances such as stroke or atrial fibrillation.
https://immattersacp.org/archives/2024/07/parsing-periop-predicaments.htm
1 Jul 2024
DOACs more effective, cost-effective than LMWH for cancer-associated thrombosis
A meta-analysis compared three direct oral anticoagulants (DOACs) (apixaban, edoxaban, and rivaroxaban) to low-molecular-weight heparin (LMWH) and found that apixaban was usually the most cost-effective option, but that finding hinged on the specific drug price.
https://immattersacp.org/weekly/archives/2023/01/03/5.htm
3 Jan 2023
DynaMed Plus image quiz: Thrombosis
The left panel of this angiography shows thrombosis of the right carotid artery such as might occur in a patient who presents to the emergency department with an acute symptomatic ischemic stroke. The right panel demonstrates the return of vascular flow following successful thrombolysis, as might occur after the patient is treated with intravenous alteplase within 180 minutes of stroke onset. Post-thrombolytic therapy, what is this patient is most likely to have?
https://immattersacp.org/archives/2017/04/dynamed.htm
1 Apr 2017
MKSAP Quiz: Follow-up for deep venous thrombosis
A 42-year-old man arrives for three-month follow-up of a proximal right leg DVT after right tibia fracture. Thrombophilia evaluation was done, although not recommended by guidelines, and found an elevated plasma homocysteine level; genetic testing then found homozygosity for the C677T methylene tetrahydrofolate reductase (MTHFR) polymorphism. His only medication is warfarin. What is the most appropriate next step in management?
https://immattersacp.org/weekly/archives/2018/07/17/3.htm
17 Jul 2018
New recommendations released on primary prevention of stroke
The updated guideline from the American Heart Association and American Stroke Association addresses lifelong stroke prevention and includes new sex-and gender-specific recommendations.
https://immattersacp.org/weekly/archives/2024/10/29/1.htm
29 Oct 2024
MKSAP Quiz: Hospitalization for neutropenic fever
A 45-year-old man is hospitalized for neutropenic fever. He was recently diagnosed with diffuse large B-cell lymphoma, and his last chemotherapy treatment was 10 days ago. What is the most appropriate management to reduce the risk of future febrile neutropenia?
https://immattersacp.org/weekly/archives/2024/09/03/3.htm
3 Sep 2024
MKSAP Quiz: Leg swelling, pain of 1 week's duration
A 48-year-old woman is evaluated in the emergency department for right leg swelling and pain of 1 week's duration. She reports no recent surgery, injuries, periods of immobility, or long airplane flights. Following a physical exam and ultrasound, what is the most appropriate management?
https://immattersacp.org/weekly/archives/2024/05/28/3.htm
28 May 2024
Registration is open for ACP's live online POCUS Mentorship Program
From May through October 2024, internal medicine physicians can attend one-on-one mentored scanning sessions covering content across five key point-of-care ultrasound (POCUS) skill areas.
https://immattersacp.org/weekly/archives/2024/03/05/6.htm
5 Mar 2024
Vitamin K antagonist use associated with higher risk of thrombosis than bleeding in patients ages 80 and older
Compared with patients ages 70 to 79 years, those ages 80 to 89 years had a similar risk of bleeding, whereas patients ages 90 years or older had a mildly increased risk of bleeding, the study found. Patients in their 80s and 90s had a markedly higher risk of thrombosis than did patients in their 70s.
https://immattersacp.org/weekly/archives/2016/07/12/4.htm
12 Jul 2016