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+--- Thread: Acute venous thromboembolism and metastatic ca - harry206 (/showthread.php?tid=490132)
Acute venous thromboembolism and metastatic ca - harry206 - ArchivalUser - 03-08-2010
58 yr old women, diagnosed with uterine ca 2 yr ago.
now c/o: b/l pulmonary emboli and mets to liver.
past h/o: 2 yr ago had lower exterimity DVT, underwent surgery follwed by 6 month warfarin.
now pt started on 7 day course of LMWH.
What should be done to prevent recurrent venous thromboembolism in this pt?
(a) transition to warfarin with INR 2-3
(b) transition to warfarin with INR 3-4
© continue LMWH
(d) IVC filter
0 - ArchivalUser - 03-08-2010
harry was the pt on wargarin when he devlop pulmonary emboli?
0 - ArchivalUser - 03-08-2010
if not.............
aaa
0 - ArchivalUser - 03-08-2010
no,
pt developed lower exterimity DVT 2 yrs ago --> at that time she was started on warfarin for 6 months.
2 yrs later, now she preseted with b/l pulmonary emboli and mets to liver.
she is not on warfarin now.
0 - ArchivalUser - 03-08-2010
C....i think.
0 - ArchivalUser - 03-08-2010
is it true that in pt with h/o malignancy lmwh is better than warfarin?
0 - ArchivalUser - 03-08-2010
yes, ans is C.
Chronic LMWH at therapeutic doses reduces the risk for thrombotic recurrence compared with standard-intensity warfarin in patients with venous thromboembolism and cancer.
0 - ArchivalUser - 03-09-2010
good ques,
thanks harry.