What are other procedures in gathering the clinical history of patients with thrombophlebitis?

Updated: Aug 31, 2020
  • Author: Padma Chitnavis, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Document the patient's age when thrombosis was diagnosed, as well as the type of thrombosis (eg, DVT, SVT, PE, myocardial infarction, stroke).

Obtain an accurate obstetric history in female patients. Recurrent spontaneous abortions may suggest an underlying factor deficiency.

Because hypercoagulability occurs in association with a number of malignancies, a history or symptoms suggestive of malignancy (eg, fever, bone pain, weight loss, bruising, fatigue) should be investigated in individuals without other known risk factors for thrombosis.

Inquire about sickle cell disease.

Risk factors (in the healthy flying population) include factors of immobilization associated with prolonged chair-rest deconditioning, including dehydration, hypovolemia, increased viscosity of the blood, and reduced venous blood flow. [114]

Illicit drug use can be a factor. Cannibis use has been attributed as a cause of SVT in a case report. [115]


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