Synonyms: Perianal Thrombosis, AnalthrombosisIn perianal vein thrombosis a blood clot (thrombus) is formed in the superficial veins at the edge of the anus, which manifests itself as a bluish knot. The causes for the development of thrombosis can be varied, but those affected also complain of severe pain. In general, perianal vein thrombosis is harmless, … Perianal Vein Thrombosis
Diagnosis The diagnosis of perianal vein thrombosis is usually very easy to make. The examining doctor can usually determine what it is by simply inspecting the anal region. Due to the painfulness of the nodules, the examination of the rectal region with the finger (digital-rectal examination) is usually not necessary. Important differential diagnoses that the … Diagnosis | Perianal Vein Thrombosis
Complications In principle, it is conceivable that the surgically opened region could become inflamed. As a rule, however, the wound heals without consequences. In the case of recurrent anal venous thromboses, however, it is possible that mariscs may remain behind due to the opening of the nodes. These are functionless skin lobes, which in principle … Complications | Perianal Vein Thrombosis
Introduction In deep vein thrombosis (phlebothrombosis), a blood clot is formed in the leg veins. This clot then closes the vein so that the blood cannot return to the heart at this point. Due to anatomical conditions, thrombosis occurs more frequently in the left leg. In addition to a rare hereditary variant, there are various … Pain in the calf – What are the indications that I have a thrombosis?
Diagnosis of a calf thrombosis The calf thrombosis can become noticeable in various ways. For example, a physical examination with calf compression pain (Meyer’s sign), calf pain when the toes are pulled towards the shin (Homans sign) or sole pain when pressure is applied to the sole of the foot (Payr sign) can provide indications … Diagnosis of a calf thrombosis | Pain in the calf – What are the indications that I have a thrombosis?
How do you recognize a calf thrombosis in pregnancy? Also during pregnancy, the signs of a calf thrombosis are pain in the calf, restricted movement, swelling and redness of the affected leg. If symptoms of this kind occur, a doctor should be consulted urgently, as there is an increased risk of thrombosis, especially during pregnancy. … How do you recognize a calf thrombosis in pregnancy? | Pain in the calf – What are the indications that I have a thrombosis?
Duration of thrombosis Normally a thrombosis does not change after approx. 2 weeks with appropriate treatment and an enlargement or complication such as the ascending of the thrombosis into the pelvic veins can be excluded. As a rule, therapy with blood thinners or anticoagulants takes at least 3 months if a calf thrombosis occurs for … Duration of thrombosis | Pain in the calf – What are the indications that I have a thrombosis?
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 Extremities (including measurement of lower leg circumference on both sides). In arterial thrombosis: [partial/complete ischemia (reduced blood flow), localized peripheral cyanosis (blue discoloration of the skin)[ In venous … Thrombosis: Examination
Laboratory parameters of the 1st order – obligatory laboratory tests. D-dimers – acute diagnosis of suspected fresh venous thrombosis (see also under “Physical examination” Wells score to determine clinical probability of venous thrombosis, DVT)[positive D-dimers are not specific for thrombosis or pulmonary embolism; however, negative D-dimers exclude thrombosis or pulmonary embolism with more than 99% … Thrombosis: Lab Test
Therapeutic target Prevention of pulmonary embolism (vascular occlusion of pulmonary arteries) and postthrombotic syndrome (chronic venous congestion affecting the lower extremity secondary to deep vein thrombosis) Therapy recommendations Acute therapy according to guidelines: primary at least 5 d with low-molecular-weight heparin (NMH) or fondaparinux (heparin analog) recommended, supplemented by anticoagulation with vitamin K antagonists (VKA, … Thrombosis: Drug Therapy
Obligatory medical device diagnostics Compression phlebosonography (KUS, synonym: venous compression sonography); sonography (ultrasound examination) to document and check the compressibility of the deep veins in the legs and arms) – in cases of suspected deep vein thrombosis (DVT); very safe procedure especially in cases of thrombi (blood clots) of the femoral veins or popliteal vein … Thrombosis: Diagnostic Tests
Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for the prevention and supportive therapy of thrombosis. Vitamin C and vitamin E Trace element selenium Omega-3 fatty acids docosahexaenoic acid and eicosapentaenoic acid The above vital substance recommendations were created with the help of medical experts. All statements are … Thrombosis: Micronutrient Therapy
