Inpatient vs outpatient treatment of acute DVT

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Emergency Procedures, Hematology, medical procedures
More Tags – Deep vein thrombosis, deep venous thrombosis, DVT, DVT treatment, HPC updates, treatment
Outpatient treatment of acute DVT is as safe as inpatient treatment in patient’s with an adequate home situation. Cohort study of 13,500 patients diagnosed with an acute lower extremity DVT and treated with either low molecular weight heparin or fondaparinux.…
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MRI is useful to distinguish between residual clot versus acute recurrent DVT

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Hematology, Hospital Procedures, medical procedures
More Tags – compression ultrasound, D-dimer, DVT, HPC updates, MRI
Frequently the combination of a serum D-dimer level and compression ultrasound testing can differentiate between a residual venous clot and an acute recurrent DVT.  However, sometimes the results are equivocal and in these situations an MRI direct thrombus imaging can…
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What is All the Fuss about Auto-PEEP?

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Hematology, Mechanical Ventilation, medical procedures, Respiratory diseases
More Tags – Auto-PEEP, hemodynamic monitoring, HPC updates, mechanical ventilation, ventilator
Lungs normally empty by passive recoil and the pressure in the alveoli at end-expiration is the intrinsic positive end-expiratory pressure (PEEP).  During spontaneous respirations and with normal lungs, the PEEP is equal to atmospheric pressure.  On a ventilator, auto-PEEP occurs…
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