Superficial thrombophlebitis: Difference between revisions
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==Background== | ==Background== | ||
Superficial thrombophlebitis is also known as "superficial venous thrombosis" and mainly involves symptomatic control. The disease is categorized into 4 main types:<ref>Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ. 2015;350:h2039. doi:10.1136/bmj.h2039.</ref> | |||
#'''Sterile thrombophlebitis''' | |||
#*No infectious association | |||
#'''Traumatic superficial thrombophlebitis''' | |||
#*Associated with limb injury from blunt trauma, IV catheters or chemical treatment | |||
#'''Infection thrombophlebitis''' | |||
#*Associated with prolonged IVs and is the only thromboplebitis to require antibiotics | |||
#'''Migratory thrombophlebitis''' | |||
#*Recurrent in multiple differing sites and often associated with malignancies | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
The differential depends on the location of the thrombophlebitis. | |||
===Below the Knee=== | |||
{{Calf pain DDX}} | |||
===Upper Extremity== | |||
{{Upper extremity swelling DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
The diagnosis is purely clinical. | |||
===Signs and Symptoms=== | |||
*Pain and discoloration to affected area | |||
*Redness affected superficial vein | |||
*Tender and hard vein on palpation | |||
*Minimal limb swelling | |||
==Management== | ==Management== | ||
Revision as of 13:10, 10 December 2015
Background
Superficial thrombophlebitis is also known as "superficial venous thrombosis" and mainly involves symptomatic control. The disease is categorized into 4 main types:[1]
- Sterile thrombophlebitis
- No infectious association
- Traumatic superficial thrombophlebitis
- Associated with limb injury from blunt trauma, IV catheters or chemical treatment
- Infection thrombophlebitis
- Associated with prolonged IVs and is the only thromboplebitis to require antibiotics
- Migratory thrombophlebitis
- Recurrent in multiple differing sites and often associated with malignancies
Differential Diagnosis
The differential depends on the location of the thrombophlebitis.
Below the Knee
Calf pain
- Achilles tendon rupture
- Calcaneal bursitis
- Cellulitis
- Compartment syndrome
- Deep venous thrombosis (DVT)
- Distal leg fractures
- Gastrocnemius strain
- Ruptured popliteal cyst (Bakers cyst)
- Superficial thrombophlebitis
=Upper Extremity
Upper extremity swelling
- Cellulitis
- Deep venous thrombosis
- Lymphatic obstruction
- Necrotizing fasciitis
- Superficial thrombophlebitis
- SVC Syndrome
- Thoracic outlet obstruction/Pancoast tumor
Diagnosis
The diagnosis is purely clinical.
Signs and Symptoms
- Pain and discoloration to affected area
- Redness affected superficial vein
- Tender and hard vein on palpation
- Minimal limb swelling
Management
Disposition
See Also
External Links
References
- ↑ Nasr H, Scriven JM. Superficial thrombophlebitis (superficial venous thrombosis). BMJ. 2015;350:h2039. doi:10.1136/bmj.h2039.