Karthick, P (2020) A Study of Clinical Spectrum of Post Phlebitic Leg. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
INTRODUCTION: Post thrombotic syndrome is a common complication of deep vein thrombosis of lower limb. Early recognition of high-risk patients is crucial to prevent development of PTS that can be achieved by maintaining vein patency after DVT. METHODOLOGY: This study was conducted in Thanjavur medical college & hospital between the period of October 2017 - September 2019. The study includes patients presenting with complaints of lower limb pain, heaviness, altered sensation, skin discoloration, swelling admitted in surgical wards during the above-mentioned period. Detailed history was taken and a thorough physical examination was done. All details were recorded in the above mentioned proforma. The recorded details include patient’s particulars, symptoms & signs of PTS. All patients were subjected to USG Doppler / MRV / D- dimer and involved segments noted. RESULTS: 25 patients in the age group of 20-70 years were included in this study. Detailed history and physical examination were done for all the patients. Basic blood investigations were done. Doppler USG was done for all the patients to confirm the diagnosis and to find out the region affected. All patients were treated with anticoagulants. Mean age group was between 21-40 years. Most common in males. Most common site was found to be ILIO-FEMORAL & POPLITEAL SEGMENT VEIN. 60% patients had ulcers at the time of presentation. Severity of post thrombotic syndrome is as follows mild-12%, moderate-16%, severe-72%.40% patients are with BMI >30%. Complication like active bleeding is noted in 24%. Mean duration of PTS (in years) on the basis of severity was mild – 2.33 years, moderate – 5.5 years, severe – 4.5 years.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711205 |
| Uncontrolled Keywords: | Post thrombotic syndrome, DVT, USG doppler, MR venogram. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 16:39 |
| Last Modified: | 10 Feb 2021 16:39 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13997 |
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