The formation of venous clots is related to at least one of Virchow's triad of factors: venous stasis, injury to vessel wall, and hypercoagulable state. T§b!e,..5.5.-I outlines the clinical risk factors predisposing to DVT, which can be remembered by the mnemonic thrombosis; T.a.bIe,,5.5.-2. provides a detailed list of associated conditions. Trauma includes multitrauma patients, lower extremity fractures, and burns. Hypercoagulable states include those associated with malignancy; lupus anticoagulant; deficiency of or resistance to protein C, protein S, or antithrombin III; and abnormal plasminogen or plasminogen activators, all of which can lead to clotting. Obstetric risk occurs not only during pregnancy but also in the postpartum period. Medications that predispose to thrombosis include birth control pills and replacement hormones. Major orthopedic, thoracic, abdominal, or gynecologic surgery is a significant risk factor for developing DVT, though the risk is diminished with prophylactic subcutaneous heparin postoperatively. Illness includes cardiovascular diseases—myocardial infarction (MI), congestive heart failure (CHF), and cerebrovascular accident (CVA)—nephrotic syndrome, inflammatory bowel disease, and vasculitis (lupus, Behçet syndrome).

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Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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