Clots that develop in the lower extremities are deep vein thrombosis (DVT), if the clot breaks off and journeys to an individual’s lungs, it is then classified as a pulmonary embolism (PE). If no treatment is received DVT can progress to adjacent veins. Venous thromboembolism is a term that incorporates PE and DVT. (Reyes, Grosse, & Grant, 2015)
1. What are the signs and symptoms of DVT the patient is presenting with? Ms. Lee is complaining of severe pain to her RLE for the past two days, unrelieved by soaking, heat and massage. She has edema to only one of her lower extremities.
2. What are the patient's risk factors for developing a DVT? Her age is not a risk factor, “risk doubles with each decade after age 50.” (Chisholm-Burns, Schwinghammer,
SKIN: She has some mild ecchymosis on her skin, and some erythema. She has patches but no obvious skin breakdown. She has some fissuring in the buttocks crease. PULMONARY: Clear to percussion and auscultation bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, nontender, protuberant, no orgonomegaly, and positive bowel sounds. NEUROLOGIC EXAM: Cranial nerves II through XII are grossly intact. Diffuse hyporeflexia. MUSCULOSKELETAL: Erosive, destructive changes in the elbows, wrists, and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stovepipe legs, and perimalleolar pitting edema 1 +. I feel no pulses distally in either leg. PSYCHIATRIC: Patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services. She refused for now.
Pulmonary embolism, what is it and how are the outcomes for this disease process and why is this disease so very important to treat as soon as possible? Well according to Medline Plus pulmonary embolism are essentially blot clots that get into the arteries of the lungs and cause a blockage which can lead to many serious problems if not treated correctly. The type of clot that is usually attributed to this disease is one that comes from deep vein thrombosis which often comes from one of the lower legs. Pulmonary Embolism: Medline Plus (2016, March 15). The lungs are a very important part of the body as important in the process cellular respiration, which with the lungs take the carbon dioxide
People of older age are more likely to have long-term or fatal illnesses “In 1995, only 21% of all deaths were among the under-5s, 7% among those 5-19, 29% among those 20-64, and 43% among the over-65s. By 2025, 8% of all deaths will be in the under-5s, 3% among 5-19 year-olds, 27% among 20-64 year-olds and 63% among the over-65s.” WHO 2015. Cancer, Heart disease and more commonly related to the 70-75 age group and also people aged 75 and above have more chance of becoming impaired such as visually, mentally, mobility and hearing. Women with breast cancer deprives women of 10 years of their life expectancy making women that have/do have breast cancer not live as long. The risk of
History: Martha Wilmington, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.
On Exam: BP today was 140/86. Head and neck exam was all clear. She had no oral or nasal ulcers. She had no lymphadenopathy or bruits. Heart sounds were normal and the chest seemed clear, as did the abdominal exam. Musculoskeletal exam disclosed widespread Heberden's and Bouchard's nodes. She had no swelling or stress pain at the MCPs. She was not tender at the CMC joints. She had no swelling in the wrist, elbows or shoulders. She had no soft tissue tender points. She has bilateral knee crepitus but only slight instability and no effusions. She had actually good range of movement of both hips. She was tender in the lumber spine and has a scar at the lower lumbar spine from her previous operations. Her feet are somewhat flat with tenderness across the
DVT (deep vein thrombosis) is a blood clot that develops in the leg, thigh or pelvis. Although it is not common during pregnancy (only 1-2 pregnant women out of 1,000 experience it), pregnant women are 5 times more likely to have DVT than non-pregnant women.
The patient is a 72 year old female. She has been experiencing progressively worse pain and stiffness in her joints. She is reports that she is having decreased range of motion, redness, and swelling in her joints. She is reports symptoms occur in the same joints on both sides of her body. She is also reporting the symptoms are worse when she first wakes up in the morning.
Age is one of the non-modifiable risk factors. As we are getting older, the risk of stroke incidence will increase as it will doubled every following 10 years after the age of 55 years old (Norsa’adah, 2005). It has been reported in Heart Disease and Stroke Statistics 2013 from the American Heart Association (Go et al., 2013), uneven distribution of stroke burden was experienced by women from racial/ethnic minority backgrounds; the incident of stroke risk among black women was doubled the white women. Hispanic women experienced higher stroke risk factor
A DVT is a thrombus or blood clot that most commonly occurs in deep veins in the leg or pelvis. DVTs usually start distally in the veins of
There are many people that suffer from venous thromboembolism. Venous thromboembolism includes both deep vein thrombosis and pulmonary embolism. This is the third most common cause of vascular death after a myocardial infarction, also known as a heart attack, and stroke. This article examines the possibility of either full or low intensity anticoagulation therapy versus aspirin. This was a randomized study that consisted of 3,396 individuals who have venous thromboembolism. These individuals either received rivaroxaban, which is an anticoagulant, or 100 mg of aspirin once a day. The individuals in this study completed 6-12 months of anticoagulation therapy and were eligible for inclusion in the study if they were 18 years of age or older. The
A epidemic is a disease that spreads through a large area and causes dead people in that large area, in a short span of time. In the following writing, the epidemic Venous Thromboembolism is going to be talked about. VTE affected a large population in Australia and the risk factors linked to the disease and the preventive measures have also been discussed in the paragraphs next.
Deep vein thrombosis (DVT) happens when a blood clot forms in one or more of the deep veins in your body, it usually takes place in your legs. Deep vein thrombosis can cause swelling or leg pains, and you may not get any symptoms at all. Deep vein thrombosis can arise if you have certain medical conditions that affect how your blood clots. Deep vein thrombosis can also happen if you don't move for a long time. I can happen sitting in a car for too long, after surgery, following an accident, or when you are confined to a hospital or nursing home bed. DVT is a serious condition because blood clots in your veins can break loose, travel through your bloodstream and lodge in your lungs. It can block the blood flow and cause a pulmonary embolism.
A pulmonary embolism (PE) is a collection of particulate matter that enters venous circulation and
known risk factor is advanced maternal age-at age 35, a woman has 1 chance in
Deep vein thrombosis (DVT) is a disorder that occurs when a blood clot forms in a vein that is deep inside the body. It is mainly associated with veins in the legs, usually in the lower leg and thigh, but may occur in other parts of the body. About half of the people who have DVT show no symptoms, but people who sit for long periods, are over 60 and smoke are at higher risk, and should be aware of possible signs of a problem.