Bill Johnson, Kent WA
Except in the case of trauma, usually both legs have the same risk factors. If a thombus occurs on the contralateral leg it will not alter the impact of anticoagulation. However, having a thrombus for whatever reason, will increase the risk for future thrombosis. Since it is very difficult to distinguish chronic from acute thrombosis at times without a baseline study (or even then in some cases) I think it would be doing the patient a disservice not to study the leg opposite a clot.
I remember a time when it was considered sacrilegious for a non-physician to question a physician's orders. I have worked for many fine physicians who encouraged me to question everything. I am still reticent to ask "are you sure you want a bilateral exam?" But I have been known to say "I finished the symptomatic leg, it is negative and there are symmetrical Doppler signals in the opposite common...do you want me to finish the other leg?" Beats an argument, and sometimes they have a good reason...
From: UVM Flownet on behalf of JASON ROBERTS
Sent: Fri 9/28/2007 5:03 PM
To: [log in to unmask]
Subject: Out of Curiousity
In the face of unilateral DVT why is it neccessary to also scan the contralateral (whole leg)side? Is the lovenox or heparin administration going to have a greater impact if its both legs? However, a unilateral always call for a contralateral CFV compression and waveform comparison.The protocols in place for postive DVT findings do not alter the amount of intervention, do they? Just a question....
With that said. I think we should do both legs in the face of positive findings,but is it really necessary? Will the intervention change.
ASN, BS, RVT
To unsubscribe or search other topics on UVM Flownet link to: http://list.uvm.edu/archives/uvmflownet.html
CONFIDENTIALITY NOTICE: The information contained in this email, including any attachments, is private, confidential and protected from disclosure. If the reader of this message is not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any unauthorized review, disclosure or distribution is strictly prohibited. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank you. Pacific Vascular, Inc.
To unsubscribe or search other topics on UVM Flownet link to: