#238 DVT / PE Triple Distilled The Curbsiders Internal Medicine Podcast

DVT / PE Triple Distilled! Our favorite VTE pearls summarized in this fast paced recap gleaned from our discussions with Dr Oren Friedman #92 Pulmonary Embolism for the Internist and hematologist, heavy metal enthusiast, Dr Michael Streiff #154 DVT and PE Master Class. Introducing our new Triple Distilled sub-series offering shorter episodes that reinforce and refresh key concepts from past shows along with any pertinent updates. 

 

Listeners can claim 2 hours of Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). 

 

Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME!

  Credits Written and Produced by: Matthew Watto MD, FACP Cover Art by: Matthew Watto MD, FACP Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP    Editor: Matthew Watto MD (written materials); Clair Morgan of nodderly.com

 

Sponsor:  VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit.

 

Time Stamps 00:00 Intro, disclaimer 01:40 Making the diagnosis of VTE 09:07 Triage and risk stratify Pulmonary Embolism 14:00 Anticoagulant choice; Duration of therapy after unprovoked DVT / PE 21:00 Workup for unprovoked DVT / PE; DOACs in special populations: at extremes of weight,  advanced CKD and in antiphospholipid syndrome 28:22 IVC filters  30:20 Outro
 

Links Check out the full show notes from previous Curbsiders’ shows covering VTE. 

Dr Oren Friedman #92 Pulmonary Embolism for the Internist  Dr Michael Streiff #154 DVT and PE Master Class

 

Goals Listeners will feel confident in the diagnosis and management of VTE

 

Learning objectives After listening to this episode listeners will...

 

Diagnose (VTE) DVT and PE using imaging, risk scores and clinical gestalt
Risk stratify patients with pulmonary embolism
Choose the appropriate initial anticoagulant for VTE
Decide duration of anticoagulation for VTE
Recall real risks and questionable benefits of IVC filters in DVT / PE
Determine need for cancer or thrombophilia workup in unprovoked DVT / PE
 

 

Disclosures The Curbsiders report no relevant financial disclosures. 

 

Citation Watto MF, Williams PN, Brigham SK, Watto MF. “#238 DVT / PE Triple Distilled”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Final publishing date October 22, 2020.

 

Tags Pulmonary embolism, vte, dvt, pe, heparin, anticoagulation, right ventricle, RV, left ventricle, LV, circulation, hypotension, shock, IVC filter, TPA, echocardiogram, CT scan, bleed, clot, deep, vein, thrombosis, DOAC, NOAC, anticoagulation, d-dimer, Wells, primary care, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student