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The diagnosis for thrombophlebitis is primarily based on the appearance of the affected area. Frequent checks of the pulse , blood pressure , and temperature may be required. If the cause is not readily identifiable, tests may be performed to determine the cause, including the following: [ 1 ] [ 4 ]
Treatment usually consists of NSAIDs, such as ibuprofen and local compression (e.g., by compression stockings or a compress). [7] If the phlebitis is associated with local bacterial infection, antibiotics may be used. [8] For acute infusion superficial thrombophlebitis, not enough evidence exists as of 2015 to determine treatment. [9]
Suppurative thrombophlebitis is suspected when erythema extends significantly beyond the margin of the vein and is likely to be associated with significant fever. If suspected, antibiotic treatment, surgical drainage, and potentially vein excision are indicated. [13] Venous thromboembolism can occur with superficial vein thrombosis.
Treatment may be requested for cosmetic reasons. Traditional techniques such as surgical excision are effective but will leave a scar. Laser therapy has become the mainstay of therapy. Published research suggests that the Long Pulsed Nd:YAG laser is a very effective, with a clearance rate of 94% following a single treatment.
Lemierre's syndrome is infectious thrombophlebitis of the internal jugular vein. [2] It most often develops as a complication of a bacterial sore throat infection in young, otherwise healthy adults. The thrombophlebitis is a serious condition and may lead to further systemic complications such as bacteria in the blood or septic emboli.
Phlegmasia cerulea dolens (PCD) (literally: 'painful blue inflammation'), not to be confused with preceding phlegmasia alba dolens, is an uncommon severe form of lower extremity deep venous thrombosis (DVT) that obstructs blood outflow from a vein.
A diagnosis of sinusitis also requires "some kind of objective finding," Lane says, which would be done with either a CT scan or nasal endoscopy showing swelling of the sinus lining, he says.
Usually there is thrombophlebitis, which is an inflammatory reaction around a thrombosed vein, presenting as a painful induration (thickening of the skin) with redness. SVT itself has limited significance (in terms of direct morbidity and mortality ) when compared to a deep vein thrombosis (DVT), which occurs deeper in the body at the deep ...
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