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Superficial Thrombophlebitis

Rob Orman, MD and Neda Frayha, MD
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11:25
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When PC RAP listener Lisa wrote us that she’s observed different clinicians manage superficial thrombophlebitis in lots of different ways, from doing absolutely nothing to serial ultrasound to anticoagulation, our own Rob Orman couldn’t wait to put his love of hematology to use. In this segment, he and Neda Frayha discuss the management of the superficial vein clot and inflammation.

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Ian L., Dr -

If the patient with Superficial Vein Thrombosis has active Cancer longer Anticoagulation will be needed.
Betrixaban oral received FDA approval for VTE prophylaxis in hospitalised patients in 2017 and could be tested for the more severe SVT.

Abraham A. -

In High risk - larger than 5-7cm, more proximal UpToDate give the option of rivaroxaban 10 mg PO for 45 days that can be a lot easier for outpatient managment.

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Those Clots are So Superficial Full episode audio for MD edition 182:47 min - 86 MB - M4APrimary Care RAP - November 2018 Written Summary 614 KB - PDF

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