case: young female patient with k/c/o prothrombin gene mutation( probably heterogenous) presented with rt arm swelling and tenderness around PICC line( peripherally inserted central cath for total parentral nutrition as she had small bowel ischemia few yrs back 2ndry to prothrobin gene mutation).
denied chest pain, cough, fever, ...
we did doppler for rt brachial vessels which came negative so she dint have any DVT in arm...
Dx: probably superficial vein thrombophlebitis..
Rx: intially we gave her heparin but when doppler came negative we stopped and discharged her on ice pack locally, acetaminophen and coumadin for her hypercoagulable state....
denied chest pain, cough, fever, ...
we did doppler for rt brachial vessels which came negative so she dint have any DVT in arm...
Dx: probably superficial vein thrombophlebitis..
Rx: intially we gave her heparin but when doppler came negative we stopped and discharged her on ice pack locally, acetaminophen and coumadin for her hypercoagulable state....
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