{"product_id":"2940152364484","title":"Deep Vein Thrombosis, A Simple Guide To The Condition, Treatment And Related Conditions","description":"\u003cp\u003eDeep Vein Thrombosis\u003c\/p\u003e\u003cp\u003eI had a patient who arrived from England 5 years ago to visit her relatives.\u003c\/p\u003e\u003cp\u003eShe had breathing difficulty and chest tightness when the plane reached the Singapore airport and was rushed to see the airport’s private clinic doctor.\u003c\/p\u003e\u003cp\u003eHowever she had an ECG done and was treated as a case of mild asthma and given some medicine.\u003c\/p\u003e\u003cp\u003eBecause she did not improve and her leg started to hurt, her relative brought her to see me 2 days later.\u003c\/p\u003e\u003cp\u003eOn examination I could see a painful red warm swelling on the lower right leg together with some varicose veins.\u003c\/p\u003e\u003cp\u003eHer lungs were congested with lower air entry on the right lung.\u003c\/p\u003e\u003cp\u003eHer blood pressure was normal but her heart rate was 98 per minute.\u003c\/p\u003e\u003cp\u003eI suspected deep vein thrombosis based on her history of an airplane travel stasis and the swollen painful right leg.\u003c\/p\u003e\u003cp\u003eBased on her ECG at the airport clinic, I did not think that she had a heart attack\u003c\/p\u003e\u003cp\u003eI immediately gave her an intravenous injection of heparin together with aminophylline (a bronchodilator).\u003c\/p\u003e\u003cp\u003eShe seems to improve immediately after the injection.\u003c\/p\u003e\u003cp\u003eThe breathing was better and there was less chest tightness.\u003c\/p\u003e\u003cp\u003eAs she was reluctant to go for a venogram or to hospital, I did not want to use warfarin.\u003c\/p\u003e\u003cp\u003eInstead I gave buffered aspirin (as an anticoagulant) and gave her a pressure stocking to wear on her leg which should be kept raised while sitting and sleeping.\u003c\/p\u003e\u003cp\u003eShe was also given a muscle relaxant together with paracetamol (a painkiller) which should help to her to sleep better.\u003c\/p\u003e\u003cp\u003eShe was told to return for review the next day.\u003c\/p\u003e\u003cp\u003eThe next day when she returned she was feeling better.\u003c\/p\u003e\u003cp\u003eThe breathing was better and the heart rate was back to 76 per minute.\u003c\/p\u003e\u003cp\u003eShe also had a good night sleep and her leg was less swollen and not so inflamed.\u003c\/p\u003e\u003cp\u003eBy the end of the second week she was much better and returned to England where she was advised to see her GP who then referred her to a UK hospital where her DVT was confirmed.\u003c\/p\u003e\u003cp\u003eWhat is deep vein thrombosis?\u003c\/p\u003e\u003cp\u003eDeep vein thrombosis (DVT) is a blood clot (thrombus) in a deep vein leading to the heart, usually in the legs.\u003c\/p\u003e\u003cp\u003eThe blood clot may either block the vein completely or partially.\u003c\/p\u003e\u003cp\u003eIt is more common in the elderly and the obese.\u003c\/p\u003e\u003cp\u003eWomen are more prone to it.\u003c\/p\u003e\u003cp\u003eDVT does not cause heart attack or stroke.\u003c\/p\u003e\u003cp\u003eWhat is the danger of DVT?\u003c\/p\u003e\u003cp\u003eClots can form in superficial veins (called superficial thrombophlebitis or phlebitis) and in deep veins due to poor blood flow or stasis.\u003c\/p\u003e\u003cp\u003eBlood clots in superficial veins rarely cause serious problems.\u003c\/p\u003e\u003cp\u003eBlood clots in deep veins (deep vein thrombosis) require immediate medical care.\u003c\/p\u003e\u003cp\u003eThese clots are dangerous because they can break loose and then travel through the bloodstream to the lungs causing a pulmonary embolism.\u003c\/p\u003e\u003cp\u003eA pulmonary embolism is often life-threatening.\u003c\/p\u003e\u003cp\u003eDeaths resulting from complications of DVT are not something new.\u003c\/p\u003e\u003cp\u003eBlood clots most often develop in the calf and thigh veins, and less often in the arm veins or pelvic veins.\u003c\/p\u003e\u003cp\u003eWhat causes deep vein thrombosis?\u003c\/p\u003e\u003cp\u003e3 major factors play a part in the development of DVT.\u003c\/p\u003e\u003cp\u003e1. Venous stasis i.e. the pooling of blood in the veins.\u003c\/p\u003e\u003cp\u003eThis may be the result of immobility, old age or heart failure.\u003c\/p\u003e\u003cp\u003e2. Damage of the vein due to trauma or local pressure.\u003c\/p\u003e\u003cp\u003eSurgery or an injury can damage your blood vessels and cause a clot to form.\u003c\/p\u003e\u003cp\u003e3. Increased coagulability (tendency of blood to clot) of the blood which is sometimes seen in:\u003c\/p\u003e\u003cp\u003ea. Clotting disorders,\u003c\/p\u003e\u003cp\u003eb. Pregnancy,\u003c\/p\u003e\u003cp\u003ec. The use of oral contraceptives,\u003c\/p\u003e\u003cp\u003ed. Dehydration or\u003c\/p\u003e\u003cp\u003ee. Some cancers.\u003c\/p\u003e\u003cp\u003eSitting for long periods without exercising your leg muscles is a main factor.\u003c\/p\u003e\u003cp\u003ePassengers in first or economy class seats in a plane have been known to develop DVT.\u003c\/p\u003e","brand":"Kenneth Kee","offers":[{"title":"Default Title","offer_id":47110591709424,"sku":"2940152364484","price":2.99,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0737\/7593\/9824\/files\/2940152364484_p0.jpg?v=1764019585","url":"https:\/\/shop-qa.barnesandnoble.com\/products\/2940152364484","provider":"Barnes \u0026 Noble (DEV)","version":"1.0","type":"link"}