Deep Venous Thrombosis

in Pregnancy
DVT
Pathophysiology DVT:
VIRCHOW’S TRIAD

STASIS

VESSEL
THROMBO
WALL
PHILIA
INJURY
 RISK FACTORS
• Immobilization • Use of OCP or
• Recent surgery hormones
• Trauma • Pregnancy and peri-
partum state
• Prior VTE
• Lower extremity • Hypercoaguable state
trauma • Stroke
• Malignancy • Obesity
• Age, acute illness
 SYMPTOMS AND HISTORY

CLASSIC ●
Pain, swelling, discoloration
●
Erythema or cyanosis
SYMPTOMS
ADDITIONAL Site, age
●

Precipitating factors, worrisome symptoms or associated diseases

●

HISTORY
●
Prior DVT
PAST HISTORY ●
Family history
 PHYSICAL EXAM
• Palpable cord
• Edema
• Warmth/coolness
• Erythema/cyanosis
• Superficial venous dilation
Each physical
Have low
finding non- FURTHER TESTING
threshold of
specific and IS REQUIRED
suspicion
unreliable
Thanks