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Blood and Clots Series: My patient has a pulmonary embolism. Should I screen them for cancer?

In Blood & Clots, Medical Concepts by Eric TsengLeave a Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Expert, Leader Case Description An 83 year old female presents for follow-up after completing 3 months of oral anticoagulant therapy with Rivaroxaban for her unprovoked deep vein thrombosis. She did some research online and heard about a link between venous thrombosis and cancer, and asks why you are not getting a CT scan to rule out malignancy. …

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Blood and Clots Series: What are the risks of reversing DOAC-associated intracranial bleeding?

In Blood & Clots, Medical Concepts by Andrew Shih1 Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Medical Expert Case Description You are seeing a 54F in the emergency department after she sustained a mechanical fall. She struck her head on the pavement and is now confused. Her comorbidities include: hypertension, diabetes mellitus, and atrial fibrillation.  She has been taking rivaroxaban 20 mg daily for three years without incident. Her complete blood count (CBC) …

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Blood and Clots Series: How can I tell whether this patient has a deep vein thrombosis?

In Blood & Clots, Medical Concepts by Kerstin de Wit1 Comment

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Communicator, Collaborator, Scholar, Professional, Medical expert Case Description A patient with increasing pain and edema in his left leg. In a recent hospital admission he was diagnosed with myeloma. This case reviews pretest probability of deep vein thrombosis, D-dimer and interpretation of compression ultrasound. Main Text Last week when I came onto a day shift I was …

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Blood and Clots Series: Which antithrombotic therapy should I start for my patient with acute VTE?

In Blood & Clots, Medical Concepts by Eric Tseng7 Comments

All the content from the Blood & Clots series can be found here. CanMEDS Roles addressed: Expert Case Description You diagnose an 83 year old female patient with an acute DVT. Her comorbidities include hypertension, diabetes, mild chronic kidney disease  (CrCL 55), osteoarthritis, and early mild cognitive impairment for which she is taking Ramipril 10 mg daily, Hydrochlorothiazide 25 mg daily, Metformin 500 mg TID, Donepezil 10 mg daily, and Ibuprofen 200 mg …

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Blood and Clots Series Quizlet 5: Should I Screen my Patient for Occult Cancer After Unprovoked VTE?

In Blood & Clots, Medical Concepts by Eric TsengLeave a Comment

Hello Blood & Clots/CanadiEM community! Before we post our blog series on thrombosis and bleeding, we encourage you to test your initial knowledge by going through a few brief case scenarios. These cases were originally posted as part of our needs assessment in Fall 2016, and you can find the answers after each question below. The first few quizlets can be found here: Quizlet 1, Quizlet 2, Quizlet 3, Quizlet 4. All the …

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Blood and Clots Quizlet 4: Antithrombotic Therapy for Atrial Fibrillation

In Blood & Clots, Medical Concepts by Eric Tseng1 Comment

Hello Blood & Clots/CanadiEM community! Before we post our blog series on thrombosis and bleeding, we encourage you to test your initial knowledge by going through a few brief case scenarios. These cases were originally posted as part of our needs assessment in Fall 2016, and you can find the answers after each question below. The first few quizlets can be found here: Quizlet 1, Quizlet 2, Quizlet 3. All the content from …