AUC Mi SSSI Pe cts Active cancer (treatment ongoing, orwithin 6 months or palliative) Paralysis or recent plaster immobilization of the lower extremities Recently bedridden for >3 days or major surgery <4 weeks Localized tanderness along the distribution of the deep venous system Entire leg swelling Calf swelling >3 cm compared with the asymptomatic leg Pitting edema (greater in tha symptomatic leg) Previous DVT documented Collateral superficial veins (non-varicose) Alternative diagnosis, (as likely o greater than that of DVT) BRT High probability Moderate probability Lor2 Low probability rid 1) Dedimer test [Dewane] [eave Faiwa) [eo stn ‘sony Nopvr “imaging done from proximal Duration of Secondary Thromboprophylaxis: Recommendations From the 8" ACCP Evidence-Based CI Practice Guidelines Duration _Indication An VIE secondary to a transient (reversible) risk factor (grade 1A) As lated, unprovoked distal DVT (grade 28) ‘Atleast © Unprovoked VTE rade 14) [more than 2 monthe, 3 months should be evaluated for long-term treatment (grade 1C)] = dat unprovoked proximal VI, absent sk factors fr bleedingand ‘g00d anticoagulant monttoring achievable (grade 14) longterm ° 2ndunprovoked VIE Grade 14) DVT and cancer: LMWH for the first 3-6 months (grade 1A); subsequent anticoagulant therapy with VKA or LMWH indefinitely ‘or until cancer resolution (grade 1C) @rhrombosis _Awetemmwncarvcn MEANS ay MaapeCME