Superficial thrombophlebitis - Revision history

Azhandos: /* Management */

2022-02-02T21:46:03Z

Management

← Older revision		Revision as of 21:46, 2 February 2022
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	**Small clots can be treated with compression, NSAIDs, elevation, follow up within 7-10 days to evaluate for progression		**Small clots can be treated with compression, NSAIDs, elevation, follow up within 7-10 days to evaluate for progression
	**Clots > 5 cm should be treated with anticoagulation, [[enoxaparin]] 40 mg subQ QD for 45 days		**Clots > 5 cm should be treated with anticoagulation, [[enoxaparin]] 40 mg subQ QD for 45 days
	**Clots within 3 cm of sapheno-femoral junction should be treated like a [[DVT]]		**Clots within 5 cm of sapheno-femoral junction should be treated like a [[DVT]]

	==Disposition==		==Disposition==

2020-09-09T16:50:32Z

Clinical Features

← Older revision		Revision as of 16:50, 9 September 2020
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	==Clinical Features==		==Clinical Features==
	[[File:PMC3505767 ad-24-383-g004.png\|thumb\| Superficial thrombophlebitis. (A) Nodular lesions are arranged in a linear configuration on the lower leg of the patient. (B) ~~Typically involves vein located in the superficial subcutaneous tissue with inflammatory~~ infiltrates obscuring the vessel walls and the lumen completely occluded by the thrombus.]]		[[File:PMC3505767 ad-24-383-g004.png\|thumb\| Superficial thrombophlebitis. (A) Nodular lesions are arranged in a linear configuration on the lower leg of the patient. (B) Inflammatory infiltrates obscuring the vessel walls and the lumen completely occluded by the thrombus.]]
	*Pain and discoloration of affected area		*Pain and discoloration of affected area
	*Redness surrounding superficial vein		*Redness surrounding superficial vein

2020-09-09T16:50:03Z

Clinical Features

← Older revision		Revision as of 16:50, 9 September 2020
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	==Clinical Features==		==Clinical Features==
			[[File:PMC3505767 ad-24-383-g004.png\|thumb\| Superficial thrombophlebitis. (A) Nodular lesions are arranged in a linear configuration on the lower leg of the patient. (B) Typically involves vein located in the superficial subcutaneous tissue with inflammatory infiltrates obscuring the vessel walls and the lumen completely occluded by the thrombus.]]
	*Pain and discoloration of affected area		*Pain and discoloration of affected area
	*Redness surrounding superficial vein		*Redness surrounding superficial vein

2020-01-26T23:30:46Z

Management

← Older revision		Revision as of 23:30, 26 January 2020
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	*[[Antibiotics]] are only needed if there is an associated [[cellulitis]] or obvious infection		*[[Antibiotics]] are only needed if there is an associated [[cellulitis]] or obvious infection
	*Little evidence for anticoagulation unless associated with a [[Deep venous thrombosis\|DVT]]<ref>Di Nisio M, et al. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev 2013;4:CD004982.</ref>		*Little evidence for anticoagulation unless associated with a [[Deep venous thrombosis\|DVT]]<ref>Di Nisio M, et al. Treatment for superficial thrombophlebitis of the leg. Cochrane Database Syst Rev 2013;4:CD004982.</ref>
			*More recent data suggests this approach<ref>Cosmi B. Management of superficial vein thrombosis. Journal of thrombosis and haemostasis : JTH. 13(7):1175-83. 2015. PMID: 25903684</ref>:
			**Small clots can be treated with compression, NSAIDs, elevation, follow up within 7-10 days to evaluate for progression
			**Clots > 5 cm should be treated with anticoagulation, [[enoxaparin]] 40 mg subQ QD for 45 days
			**Clots within 3 cm of sapheno-femoral junction should be treated like a [[DVT]]

	==Disposition==		==Disposition==

2019-08-13T06:58:28Z

Differential Diagnosis

← Older revision		Revision as of 06:58, 13 August 2019
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	{{Calf pain DDX}}		{{Calf pain DDX}}
	{{Upper extremity swelling DDX}}		{{Upper extremity swelling DDX}}

	~~===Groin Pain===~~
	{{Groin Pain DDX}}		{{Groin Pain DDX}}

2019-08-13T06:57:18Z

Differential Diagnosis

← Older revision		Revision as of 06:57, 13 August 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	''Depends on the location''		''Depends on the location''
	~~===Lower extremity===~~
	{{Calf pain DDX}}		{{Calf pain DDX}}

	~~===Upper extremity===~~
	{{Upper extremity swelling DDX}}		{{Upper extremity swelling DDX}}

2019-08-13T06:56:58Z

Differential Diagnosis

← Older revision		Revision as of 06:56, 13 August 2019
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	==Differential Diagnosis==		==Differential Diagnosis==
	~~The differential depends~~ on the location ~~of the thrombophlebitis.~~		''Depends on the location''
	===Lower extremity===		===Lower extremity===
	{{Calf pain DDX}}		{{Calf pain DDX}}

2019-07-15T06:18:48Z

Background

← Older revision		Revision as of 06:18, 15 July 2019
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	*Also known as "superficial venous thrombosis"		*Also known as "superficial venous thrombosis"
	*More likely in patients with varicose veins<ref>Leon L et al. Clinical significance of superficial vein thrombosis. Eur J Vasc Endovasc Surg 2005;29:10-17.</ref>		*More likely in patients with varicose veins<ref>Leon L et al. Clinical significance of superficial vein thrombosis. Eur J Vasc Endovasc Surg 2005;29:10-17.</ref>
	*Associated [[Deep ~~venough~~ thrombosis\|DVT]] is rare and usually only occurs at the junctions with deep venous system such as the groin<ref>Bergqvist D, Jaroszewski H. Deep vein thrombosis in patients with superficial thrombophlebitis of the leg. BMJ 1986;292:658-9.</ref>		*Associated [[Deep venous thrombosis\|DVT]] is rare and usually only occurs at the junctions with deep venous system such as the groin<ref>Bergqvist D, Jaroszewski H. Deep vein thrombosis in patients with superficial thrombophlebitis of the leg. BMJ 1986;292:658-9.</ref>

	===Types<ref>Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ. 2015;350:h2039. doi:10.1136/bmj.h2039.</ref>===		===Types<ref>Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ. 2015;350:h2039. doi:10.1136/bmj.h2039.</ref>===

2018-09-14T16:55:41Z

Clinical Features

← Older revision		Revision as of 16:55, 14 September 2018
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	==Clinical Features==		==Clinical Features==
	*Pain and discoloration to affected area		*Pain and discoloration of affected area
	*Redness ~~affected~~ superficial vein		*Redness surrounding superficial vein
	*Tender and hard vein on palpation		*Tender and hard vein on palpation
	*Minimal limb swelling		*Minimal limb swelling

2018-02-28T17:58:40Z

Evaluation

← Older revision		Revision as of 17:58, 28 February 2018
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	==Evaluation==		==Evaluation==
			[[File:Cephalic Vein Thrombophlebitis Bowra.gif\|thumbnail\|Point of care ultrasound may support clinical diagnosis as in this case of cephalic vein thrombophlebitis<ref>http://www.thepocusatlas.com/soft-tissue-vascular/</ref>]]
	*Diagnosis is purely clinical		*Diagnosis is purely clinical
	**D-dimer has no clinical benefit and only consider [[Deep venous thrombosis\|DVT]] evaluation if there is significant limb swelling or location near a deep vein (popliteal/femoral vein)		**D-dimer has no clinical benefit and only consider [[Deep venous thrombosis\|DVT]] evaluation if there is significant limb swelling or location near a deep vein (popliteal/femoral vein)