TdC 88: 4 Clinicagens sobre Trombose venosa profunda (TVP)

Notas do episódio

https://www.tadeclinicagem.com.br/guia/ Confira a promoção especial para o plano anual do Guia TdC: Receba em casa o Card de Consulta Rápida no Plantão, com os temas: IOT, ACLS, ATB, ECG, trombólise e reposição eletrolítica. Receba em casa o porta-crachá (tirante para crachá) do TdC. Ganhe R$ 50 OFF (de 449 por 399,00) 7 primeiros dias inteiramente grátis Use o CUPOM: GUIADZERO 🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 Rapha, Pedro e Gui discutem quatro clinicagens na Trombose! 1- Quando desconfiar? 2- Quando pode tratar em casa? 3- Quanto tempo eu trato? 4- Tem que investigar trombofilia ou câncer? Minutagem 02:16 Divisão do episódio 03:13 Quando suspeitar de TVP 05:07 Fatores que dizem a favor de TVP 07:15 O que diminui as chances de ser TVP 08:00 Escore de Wells para TVP 11:58 Quando internar? 14:28 Quem eu vou internar? 16:30 Duração do tratamento 18:20 Baixo risco 19:40 Alto risco 21:43 Risco intermediário 24:38 Quem você pode parar de anticoagular? 27:00 Investigo trombofilias? 30:50 E a investigação do câncer? 36:00 Salves 38:00 Resposta do desafio da semana anterior 38:35 Desafio da semana! Referências: 1- NICE Guidance Venous Thromboembolism in adults: diagnosis and management https://www.nice.org.uk/guidance/qs29 2- https://www.nice.org.uk/guidance/ng158/evidence/c-investigations-for-cancer-pdf-8710588336 3- ORTEL, Thomas L. et al. American Society of Hematology 2020 guidelines for management of venous thromboembolism: treatment of deep vein thrombosis and pulmonary embolism. Blood advances, v. 4, n. 19, p. 4693-4738, 2020. 4- LIM, Wendy et al. American Society of Hematology 2018 guidelines for management of venous thromboembolism: diagnosis of venous thromboembolism. Blood advances, v. 2, n. 22, p. 3226-3256, 2018. 5- KEARON, C. et al. Categorization of patients as having provoked or unprovoked venous thromboembolism: guidance from the SSC of ISTH. Journal of thrombosis and haemostasis: JTH, v. 14, n. 7, p. 1480-1483, 2016. 6- NICOLAIDES, A. et al. Prevention and treatment of venous thromboembolism: international consensus statement (guidelines according to scientific evidence). Clinical and Applied Thrombosis/Hemostasis, v. 19, n. 2, p. 116-118, 2013. 7- MAZZOLAI, Lucia et al. Diagnosis and management of acute deep vein thrombosis: a joint consensus document from the European Society of Cardiology working groups of aorta and peripheral vascular diseases and pulmonary circulation and right ventricular function. European heart journal, v. 39, n. 47, p. 4208-4218, 2018. 8- CARRIER, Marc et al. Screening for occult cancer in unprovoked venous thromboembolism. New England Journal of Medicine, v. 373, n. 8, p. 697-704, 2015. 9- PICCIOLI, A. et al. Extensive screening for occult malignant disease in idiopathic venous thromboembolism: a prospective randomized clinical trial. Journal of Thrombosis and Haemostasis, v. 2, n. 6, p. 884-889, 2004. 10- ROBERTSON, Lindsay et al. Effect of testing for cancer on cancer‐or venous thromboembolism (VTE)‐related mortality and morbidity in people with unprovoked VTE. Cochrane Database of Systematic Reviews, n. 11, 2018. 11- KONSTANTINIDES, Stavros V. et al. 2019 ESC Guidelines for the diagnosis and management of acute pulmonary embolism developed in collaboration with the European Respiratory Society (ERS) The Task Force for the diagnosis and management of acute pulmonary embolism of the European Society of Cardiology (ESC). European heart journal, v. 41, n. 4, p. 543-603, 2020.