Medical history (history of illness) represents an important component in the diagnosis of thrombosis.
Family history
Social history
- Do you have a job that requires you to stand or sit for long periods of time?
- Have you taken a long-haul flight recently?
Current medical history/systemic history (somatic and psychological complaints).
- Do you have pain in the leg?*
- Is the leg overheated and swollen?*
- Do you have a fever?
- Do you have a racing heart* ?
- Do you have any other complaints?
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Do you exercise enough every day?
- Do you drink enough?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
Self history including medication history.
- Pre-existing conditions (blood clotting disorders?; cardiovascular disease?; tumor disease?).
- Surgery (blood transfusions?; prolonged bed rest?).
- Allergies
- Pregnancies
Medication history
- Antidepressants (amitriptyline/in patients > 70 L. J).
- Antipsychotics (neuroleptics) – chlorpromazine, clozapine, haloperidol, thioridazine.
- Diuretics [exsiccosis]
- Hormones
- Glucocorticoids (budenoside, cortisone, fluticasone, prednisolone).
- Estrogens (ethinyl estradiol, estradiol) – estrogen therapy as hormone replacement therapy (HT): increase in thromboembolic risk by: + 6 events per 10,000 women per year of use.
- Estrogen-progestin combinations (oral contraceptives: ethinyl estradiol + norethisterone / norgestrel derivative – esp. in combination with smoking; hormone replacement therapy, HRT) in menopause: increase in thromboembolic risk by: + 17 events per 10,000 women per year of use.
- See also under “Thromboembolism by drugs“; progestins combined with ethinyl estradiol, here show esp. the following progestins: gestodene / desogrestrel / drospirenone, etonogestrel / norelgestromin an increased risk of thromboembolism.
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Data without guarantee)
