Does your evaluation of a young person with spontaneous upper extremity DVT vary as compared to lower extremity DVT?
Do you do additional workup for venous obstruction or any other different testing/evaluation?
1 Answer
Mednet MemberInvited Expert
Hematology · University of Rochester School of Medicine and Dentistry
Answered on
The workup for a young adult with an upper extremity DVT differs for me in two ways:
- Venous thoracic outlet syndrome must be suspected and a careful history of repetitive overhead movements must be obtained. Consulting your vascular surgery team in these cases to ensure the anatomy does not put the patient at risk of a recurrent clot (and that the patient has the anatomy optimized if needed) is essential.
- I would be much more likely to obtain an inherited thrombophilia workup (protein C/S, anti...
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