Phlebitis Migrans: Drug Therapy

Therapeutic targets Pain relief Prevention of pulmonary embolism (vascular occlusion of pulmonary arteries) and postthrombotic syndrome (chronic venous stasis affecting the lower extremity as a result of deep vein thrombosis) in cases of long-standing phlebitis (phlebitis), phlebitis of the great saphenous vein, or in immobile individuals Therapy recommendations Analgesia (analgesics/painkillers). Low-molecular-weight heparins (NMH), heparin analogs. … Phlebitis Migrans: Drug Therapy

Phlebitis Migrans: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Sonography (ultrasound examination) of the affected region. Compression phlebosonography (KUS, synonym: vein compression sonography); sonography (ultrasound examination) to document and check the compressibility of the deep veins in the legs and arms) … Phlebitis Migrans: Diagnostic Tests

Phlebitis Migrans: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate phlebitis migrans: Dolor (pain) Rubor (redness) Calor (overheating) Palpable venous cord Phlebitis migrans mainly affects the extensor sides of the lower extremity. Phlebitis migrans usually heals spontaneously after two to three weeks. It may leave a slight hyperpigmentation.

Phlebitis Migrans: Causes

Pathogenesis (development of disease) Phlebitis refers to inflammation of a venous vessel. It may originate from inside the vessel or from outside. Etiology (causes) Cardiovascular (I00-I99). Thrombangiitis obliterans (synonyms: endarteritis obliterans, Winiwarter-Buerger disease, Von Winiwarter-Buerger disease, thrombangitis obliterans) – vasculitis (vascular disease) associated with recurrent (recurring) arterial and venous thrombosis (blood clot (thrombus) in a … Phlebitis Migrans: Causes

Phlebitis Migrans: Therapy

Local therapy may be used for short-segment phlebitis. The following measures are used: Compression bandages/phlebological compression bandage (PKV). Cold wrap Alcohol wrap Creams/gels containing heparin General measures Nicotine restriction (refraining from tobacco use) – especially in thrombangiitis obliterans.

Phlebitis Migrans: Test and Diagnosis

As a rule, laboratory diagnostics are not necessary. Second-order laboratory parameters-depending on the results of the history, physical examination, and obligatory laboratory parameters-for differential diagnostic clarification. D-dimer – for suspected deep vein thrombosis and pulmonary embolism. Tumor marker – when malignant neoplasia (malignant neoplasm) is suspected.

Phlebitis Migrans: Medical History

Medical history (history of illness) represents an important component in the diagnosis of phlebitis migrans. Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). Do you have any pain? If yes, when does the pain occur? Where is the pain localized? Have you also noticed redness, swelling, and/or induration of the affected area? … Phlebitis Migrans: Medical History

Phlebitis Migrans: Or something else? Differential Diagnosis

Cardiovascular (I00-I99). Mondor’s disease (synonyms: Mondor’s disease; iron wire phlebitis; phlebitis Mondor) – Thrombophlebitis of the thoracoepigastric veins or their branches on the front of the thorax (chest). This may also affect the mammae (breasts); clinically there are pressure painful strands Thrombangiitis obliterans (synonyms: endarteritis obliterans, Winiwarter-Buerger disease, Von Winiwarter-Buerger disease, thrombangitis obliterans) – vasculitis … Phlebitis Migrans: Or something else? Differential Diagnosis

Phlebitis Migrans: Complications

The following are the most important diseases or complications that may be contributed to by phlebitis migrans: Cardiovascular system (I00-I99). Thrombosis (occlusion) of the vessel. Infectious and parasitic diseases (A00-B99). Abscess formation after bacterial infection

Phlebitis Migrans: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin [Phlebitis migrans usually heals spontaneously after two to three weeks. It may leave a slight hyperpigmentation] Extremities (including measurement of the circumference of the lower leg on both … Phlebitis Migrans: Examination