Deep Vein Thrombosis Management Medical Question:
A 59 year old male is admitted following an Intracerebral hemorrhage. On 3rd day of hospitalization, he develops swelling, redness and tenderness on the right calf. He does not have any fever. The attending doctor orders a compression ultrasonography, which reveals a thrombus in the popliteal vein. Which of the following is the most appropriate next step in management of this patient?
A) Thrombolytic therapy
B) Anticoagulation with heparin
C) Anticoagulation with warfarin
D) Compression stockings
E) Inferior vena cava filter
F) No treatment is needed
Correct answer is E. Patients with DVT in whom anticoagulation is contraindicated (those with recent surgery, hemorrhagic stroke, bleeding diatheses, or active bleeding) require placement of an inferior vena cava to prevent Pulmonary Embolism.