Discussion

Superficial thrombophlebitis is a
common inflammatory-thrombotic
disorder in which a thrombus
develops in a vein located near the
surface of the skin. Most superficial
veins that develop thrombosis also
have phlebitis, in contrast to
deep venous thrombosis, a
sometimes asymptomatic condition
in which phlebitis may be absent.

Sites it can occur

Lower limbs
Breast Mondors disease
Penis
External jugular vein
Wherever medical interventions done

 In each type of superficial

thrombophlebitis, the condition
presents as redness and tenderness
along the course of the vein, usually
accompanied by swelling. Bleeding
also can occur at the site of a
varicose vein.

 Superficial thrombophlebitis is a
clinical diagnosis in which the
clinician identifies tender and
inflamed superficial veins
Treatment for superficial
thrombophlebitis is aimed at patient
comfort and at preventing superficial
phlebitis from involving the deep
veins.

Treatment

Elevate limb
Compression stockings
Analgesics
Anticoagulants fondaparinaux,
LMWH
Antibiotics cover Staph
Surgery excision and ligation

Virchow triad

Deep Vein Thrombosis

Formation of blood clot (thrombus) in deep veins
Presents with pain, swelling, redness, warm
and engorged superficial vein
Diagnosis Doppler USS, D-dimer, contrast
venography
Treatment
Conservative lifestyle measures, compression
stockings
Pharmacological warfarin, heparin, fondaparinaux,
streptokinase, tPA (alteplase)
Surgery IVC filter, thrombolectomy,

Thrombophillia
Hypercoagulability or prothrombotic
state
Abnormality in blood circulation
which predisposes to thrombosis.
Presents with DVT and PE

 Causes
Congenital factor V Leidon,
antithrombin III def, protein C def,
protein S def, factor XIII mutation,
familial dysfibrogenemia,
Acquired antiphospholipid syndrome,
polycythemia vera
Unclear activated protein C resistance

 Management
Lifestyle measures loss of weight
Anticoagulation warfarin
Prevent PE IVC filter