Episode Details

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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.