Diagnosis To diagnose thrombophlebitis, your doctor will ask you about your discomfort and look for affected veins near your skin's surface. To determine whether you have superficial thrombophlebitis or deep vein thrombosis, your doctor might choose one of these tests:. Ultrasound. A wandlike device (transducer) moved over the affected area of your leg sends sound waves into your leg. As the sound waves travel through your leg tissue and reflect back, a computer transforms the waves into a moving image on a video screen. This test can confirm the diagnosis and distinguish between superficial and deep vein thrombosis.

1. Phlebitis Presentation Copyright

Blood test. Almost everyone with a blood clot has an elevated blood level of a naturally occurring, clot-dissolving substance called D dimer. But D dimer levels can be elevated in other conditions.

So a test for D dimer isn't conclusive, but can indicate the need for further testing. It's also useful for ruling out DVT and for identifying people at risk of developing thrombophlebitis repeatedly.

Support stockings Compression stockings, also called support stockings, compress your legs, promoting circulation. A stocking butler may help you put on the stockings.

For superficial thrombophlebitis, your doctor might recommend applying heat to the painful area, elevating the affected leg, using an over-the-counter nonsteroidal anti-inflammatory drug (NSAID) and possibly wearing compression stockings. The condition usually improves on its own. Your doctor might also recommend these treatments for both types of thrombophlebitis:. Blood-thinning medications. If you have deep vein thrombosis, injection of a blood-thinning (anticoagulant) medication, such as low molecular weight heparin or fondaparinux (Arixtra), will prevent clots from enlarging.

After the initial treatment, taking the oral anticoagulant warfarin (Coumadin, Jantoven, others) or the newer rivaroxaban (Xarelto) for several months continues to prevent clots from enlarging. If your doctor prescribes a blood thinner, follow directions carefully. Their most serious side effect can be excessive bleeding. Clot-dissolving medications.

Treatment with medications such as alteplase (Activase) dissolves blood clots. Also known as thrombolysis, this treatment is used for extensive DVT, including some cases that involve a blood clot in the lungs (pulmonary embolus). Compression stockings. Prescription-strength compression stockings help prevent swelling and reduce the chances of complications of DVT. In some instances, especially if you can't take blood thinners, a filter can be inserted into the main vein in your abdomen (vena cava) to prevent clots that break loose in leg veins from lodging in your lungs. Usually, the filter is removed when it's no longer needed.

If you have a filter placed, ask your doctor if and when it should be removed. Varicose vein stripping.

Your doctor can surgically remove varicose veins that cause pain or recurrent thrombophlebitis in this procedure. It involves removing a long vein through small incisions. Removing the vein won't affect circulation in your leg because veins deeper in the leg take care of the increased volumes of blood.

Lifestyle and home remedies In addition to medical treatments, here are self-care measures to help improve thrombophlebitis. If you have superficial thrombophlebitis:.

Use a warm washcloth to apply heat to the involved area several times daily. Elevate your leg. Use a nonsteroidal anti-inflammatory drug, such as ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others), if recommended by your doctor If you have deep vein thrombosis:.

Take prescription anticoagulant medications as directed to prevent complications. Elevate your leg if it's swollen. Wear your prescription compression stockings as directed Let your doctor know if you're taking another blood thinner, such as aspirin. Preparing for your appointment If you have signs or symptoms of thrombophlebitis, such as a red, swollen or tender vein, see your doctor right away. If the vein swelling and pain are severe or you have other signs and symptoms that might indicate a blood clot traveling to your lungs, such as shortness of breath or coughing up blood, call 911 or your local emergency number. If you have time before your appointment, here's some information to help you get ready.

What you can do Make a list of:. Your symptoms, including any that may seem unrelated to the reason for your appointment. Key personal information, including a family history of blood-clotting disorders or long periods of inactivity recently, such as a car or plane trip. All medications, vitamins or other supplements you take. Questions to ask your doctor Have someone take you to your doctor or emergency room, if possible.

It might be difficult for you to drive, and it's helpful to have someone with you to help you remember the information you receive. For thrombophlebitis, basic questions to ask your doctor include:. What is likely causing my condition?.

What are other possible causes?. What tests do I need?. What treatments are available and which do you recommend?. I have other health conditions. How can I best manage these conditions together?.

Are there dietary or activity restrictions I need to follow?. Are there brochures or other printed material I can have? What websites do you recommend? What to expect from your doctor Your doctor is likely to ask you questions, such as:. When did your symptoms begin?. Do you have symptoms all the time, or do they come and go?.

How severe are your symptoms?. Have you had an injury or surgery within the past three months?. What, if anything, seems to improve or worsen your symptoms?. Scovell S, et al. Phlebitis and thrombosis of the superficial lower extremity veins. Accessed July 11, 2016. Approach to the diagnosis and therapy of a lower extremity deep vein thrombosis.

Accessed July 11, 2016. Di Nisio M, et al. Treatment for superficial thrombophlebitis of the leg (review).

Cochrane Database of Systemic Reviews. Accessed July 11, 2016. Deep vein thrombosis. National Heart, Lung, and Blood Institute. Accessed July 11, 2016. Alguire PC, et al. Post-thrombotic (postphlebitic) syndrome.

Accessed July 11, 2016.

Title: Phlebitis and thrombophlebitis 1 Phlebitis and thrombophlebitis 2 Phlebitis Overview. Phlebitis -inflammation of a vein. Thrombophlebitis -a blood clot in the vein causes the inflammation. Thrombophlebitis usually occurs in leg veins, but it may occur in an arm. The thrombus (clot) in the vein causes pain and irritation and may block blood flow in the veins. Phlebitis can occur in both the surface (superficial) or deep veins. 3 (No Transcript) 4.

Superficial phlebitis affects veins on the skin surface. The condition is rarely serious and, with proper care, usually resolves rapidly. Sometimes people with superficial phlebitis also get deep vein thrombophlebitis, so a medical evaluation is necessary. Deep vein thrombophlebitis affects the larger blood vessels deep in the legs. Blood clots (thrombi) can form, which may break off and travel to the lungs. This is a potentially life-threatening condition called pulmonary embolism 5 (No Transcript) 6 Causes.

Phlebitis may occur spontaneously or as a complication of a medical procedure. Local trauma and injury to a vein also increase the risk of forming a blood clot 7.

Superficial phlebitis. There is usually a slow onset of a tender red area along the superficial veins on the skin.

A long, thin red area may be seen as the inflammation follows the path of a superficial vein. This area may feel hard, warm, and tender. The skin around the vein may be itchy and swollen.

The area may begin to throb or burn. Symptoms may be worse when the leg is lowered, especially when first getting out of bed in the morning. A low-grade fever may occur. 8 (No Transcript) 9. Sometimes phlebitis may occur at the site where a peripheral intravenous (IV) line was started.

The surrounding area may be sore and tender along the vein. If an infection is present, symptoms may include redness, fever, pain, swelling, or breakdown of the skin. 10. Thrombophlebitis migrans can be a non-metastatic manifestation of malignancies such as pancreatic carcinoma 11.

Deep vein thrombophlebitis. This can be similar in presentation to superficial phlebitis, but some people may have no symptoms. The classic signs and symptoms include redness, warmth, swelling, and pain in the leg.One may have pain and swelling throughout the entire limb.

12. Treatment. In general, treatment may include support stockings and wraps to reduce discomfort as well as medications such as.

Analgesics. Antibiotics (if infection is present). Anticoagulants (blood thinners) to prevent new clots from forming 13. Elevate the affected area to reduce swelling.

Keep pressure off of the area to reduce pain and decrease the risk of further damage. Apply moist heat to reduce inflammation and pain. Surgical removal, stripping, or bypass of the vein is rarely needed but may be recommended in some situations. 14 (No Transcript) 15 RISK FACTORS.

Older age (gt 40 years). Male gender. Smoking. Diabetes mellitus. Hyperlipidemia.

Hypertension. Hyperhomocysteinemia. When risk factors coexist, the risk increases several-fold 16 Symptoms. Most asymptomatic. Intermittant claudication. Rest pain.

Ulcers and gangrene 17 (No Transcript) 18 INTERMITTENT CLAUDICATION (LEG ATTACK). Derived from the Latin word claudicatio i.e. To limp. Caused by PAD in the lower extremities. Characterized by pain, ache, cramp, tightness or sense of fatigue in leg muscles with activity.

Symptoms relieved by rest. Results in reduced mobility and quality of life. 19 WHAT CAUSES INTERMITTENT CLAUDICATION? PowerShow.com is a leading presentation/slideshow sharing website. Whether your application is business, how-to, education, medicine, school, church, sales, marketing, online training or just for fun, PowerShow.com is a great resource.

Phlebitis Presentation Copyright

And, best of all, most of its cool features are free and easy to use. You can use PowerShow.com to find and download example online PowerPoint ppt presentations on just about any topic you can imagine so you can learn how to improve your own slides and presentations for free.

Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles. That's all free as well! For a small fee you can get the industry's best online privacy or publicly promote your presentations and slide shows with top rankings.

But aside from that it's free. We'll even convert your presentations and slide shows into the universal Flash format with all their original multimedia glory, including animation, 2D and 3D transition effects, embedded music or other audio, or even video embedded in slides. All for free. Most of the presentations and slideshows on PowerShow.com are free to view, many are even free to download.

(You can choose whether to allow people to download your original PowerPoint presentations and photo slideshows for a fee or free or not at all.) Check out PowerShow.com today - for FREE. There is truly something for everyone! Presentations for free. Or use it to find and download high-quality how-to PowerPoint ppt presentations with illustrated or animated slides that will teach you how to do something new, also for free. Or use it to upload your own PowerPoint slides so you can share them with your teachers, class, students, bosses, employees, customers, potential investors or the world. Or use it to create really cool photo slideshows - with 2D and 3D transitions, animation, and your choice of music - that you can share with your Facebook friends or Google+ circles.

That's all free as well! For a small fee you can get the industry's best online privacy or publicly promote your presentations and slide shows with top rankings.

But aside from that it's free. We'll even convert your presentations and slide shows into the universal Flash format with all their original multimedia glory, including animation, 2D and 3D transition effects, embedded music or other audio, or even video embedded in slides. All for free. Most of the presentations and slideshows on PowerShow.com are free to view, many are even free to download. (You can choose whether to allow people to download your original PowerPoint presentations and photo slideshows for a fee or free or not at all.) Check out PowerShow.com today - for FREE. There is truly something for everyone!