TY - CHAP M1 - Book, Section TI - MEDICAL MANAGEMENT OF FEMOROPOPLITEAL DEEP VENOUS THROMBOSIS A1 - Gomes, Marcelo P. Villa-Forte A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 44-year-old Caucasian woman presented to the emergency department with a 2-week-history of right-leg pain and edema involving the lower thigh to the ankle. One week prior to her emergency room visit, she developed increasing fatigue associated with pleuritic chest pain, exertional dyspnea, and palpitations. Her leg symptoms began within 2 weeks after she was discharged from the hospital after undergoing a 4-day stay for surgery for breast cancer. Her medical history is significant for vasculitis (granulomatosis with polyangiitis/Wegener granulomatosis) and mild iron deficiency anemia. She stopped taking a birth control pill a few weeks prior to surgery. Physical examination demonstrates blood pressure of 138/68 mm Hg, heart rate of 102 bpm, body mass index of 34, regular heart rate and rhythm, and lungs clear to auscultation. The right lower extremity has soft pitting edema with negative Homan sign. There is no cyanosis in the extremities, and distal lower extremity pulses are intact and symmetrical. Acute deep venous thrombosis (DVT) is suspected. The quantitative D-dimer level is 1200 mg/dL, and a venous duplex ultrasound reveals acute DVT involving the common femoral (Figure 53-1), femoral, and popliteal veins. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105291323 ER -