VERY IMPORTANT QUESTION ON DEEP VEIN THROMBOSIS:-
A 44-year-old man presents to your office complaining of right leg pain and swelling of 3 days’ duration. The patient was well until he had a wreck while riding his dirt bike 1 week ago. The patient states that he injured his right leg in this accident. Initially, his leg was moderately sore on weight bearing, but swelling and persistent pain have now developed. On physical examination, you note an extensive bruise on the patient’s right calf and 2+ edema from the foot to the midthigh. You suspect trauma-asso- ciated deep vein thrombosis (DVT).
Which of the following statements regarding DVT is true?
❏ A. Thrombi confined to the calf are large and typically result in pul- monary venous thromboembolism (VTE)
❏ B. The postthrombotic syndrome is a rare sequela of DVT and is associat- ed with low morbidity
❏ C. Most patients presenting with a new DVT have an underlying inherited thrombophilia
❏ D. The most common cause of inherited thrombophilia associated with this illness is activated protein C resistance (factor V Leiden)