vi medicine informatics




A tender swollen right calf in the setting of a previous history of calf pain and family history of hypercoagulability is suggestive of a new deep venous thrombosis (DVT). Patient typically has no history of stasis (recent surgery, long drive or flight) or endothelial damage. Clue: sibling had an infarction of the mesenteric vein at a young age, this patient most likely has an inherited thrombophilia. The most common inherited thrombophilia in white individuals is factor V Leiden mutation

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