Search results for "Venous thromboembolism"
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
Pros, cons of prolonged anticoagulation after a clot
Experts debate about provoked vs. unprovoked venous thromboembolism, and whether a once-high-risk patient can have that status removed later.
https://immattersacp.org/archives/2020/02/pros-cons-of-prolonged-anticoagulation-after-a-clot.htm
1 Feb 2020
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
Managing DOACs in primary care
Primary care physicians play a crucial role in ongoing anticoagulation management, including educating patients about the signs of venous thromboembolism.
https://immattersacp.org/archives/2022/04/managing-doacs-in-primary-care.htm
1 Apr 2022
MKSAP Quiz: Screening after prostate cancer diagnosis
A 65-year-old man is evaluated after being diagnosed with high-risk prostate cancer. He is asymptomatic. Transrectal ultrasound biopsy showed multiple foci of prostate cancer in both lobes with the highest Gleason score of 8. Following a physical exam, tests, and treatment, what is the most appropriate screening test to perform next?
https://immattersacp.org/weekly/archives/2024/06/25/3.htm
25 Jun 2024
Patients with provoked VTE often on anticoagulation longer than recommended
Three variables were associated with receiving anticoagulation for longer than three months after a provoked venous thromboembolism (VTE): direct oral anticoagulant use, history of VTE, and history of myocardial infarction.
https://immattersacp.org/weekly/archives/2022/11/01/4.htm
1 Nov 2022
New resource offers pearls for perioperative medicine
A recent book addresses perioperative medicine, including how to be a perioperative consultant, prophylaxis for venous thromboembolism, coexisting medical problems, and common postoperative complications.
https://immattersacp.org/archives/2022/02/new-resource-offers-pearls-for-perioperative-medicine.htm
1 Feb 2022
Apixaban shows superior effectiveness, safety compared to rivaroxaban
For patients with venous thromboembolism, initiation of apixaban was associated with lower rates of recurrence and intracranial and gastrointestinal bleeding than rivaroxaban in a population-based cohort study.
https://immattersacp.org/weekly/archives/2021/12/07/2.htm
7 Dec 2021
DOACs may be safe, effective for VTE prevention in patients with higher weight, BMI
Patients with first-time venous thromboembolism (VTE) who weighed 120 kg or more and had a body mass index (BMI) of 40 kg/m2 or more were not at higher risk for bleeding or recurrent VTE with direct-acting oral anticoagulants (DOACs) versus warfarin.
https://immattersacp.org/weekly/archives/2021/11/09/4.htm
9 Nov 2021
MKSAP Quiz: ED evaluation for midsternal pain
A 59-year-old woman is evaluated in the emergency department for midsternal chest pain. The pain began several hours ago as a vague ache in her left upper sternal region that progressed in intensity and severity. The pain abated spontaneously after approximately 45 minutes. She had no further chest pain until several hours later, when it recurred unprovoked by exertion. She has no shortness of breath, nausea or vomiting, syncope, previous history of chest pain, or known cardiac disease or risk factors for venous thromboembolism. Medical history is significant for hyperlipidemia and hypertension. She does not smoke cigarettes. Medications are simvastatin, aspirin, lisinopril, and hydrochlorothiazide. Following a physical exam, electrocardiogram and chest radiograph, what is the most appropriate initial management?.
https://immattersacp.org/archives/2014/04/mksap.htm
1 Apr 2014