Conservative management
Steep limb elevation
Fluid resuscitation
Heparin: 80-100U/kg followed by infusion of 15-18U/kg/hr
Vascular surgery consult
If conservative therapy fails, can consider:
Thrombolysis: Alteplase (1mg/min to total of 50mg) distal to thrombus
Interventional radiology consult for emergent catheter-directed thrombolysis
Thrombectomy
Steep limb elevation
Fluid resuscitation
Heparin: 80-100U/kg followed by infusion of 15-18U/kg/hr
Vascular surgery consult
Thrombolysis: Alteplase (1mg/min to total of 50mg) distal to thrombus
Interventional radiology consult for emergent catheter-directed thrombolysis
Thrombectomy
Phlegmasia alba dolens
Arterial embolism
Phlegmasia cerulea dolens
Capnocytophaga canimorsus
DVT
Hymenolepis nana
Cellulitis
Clitocybe