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Today we talked about VTE prophylaxis and treatment. We discussed some of the risk factors that put medical patients at risk of a VTE or PE during their hospitalization (immobility, cancer, obesity, hypertension, pregnancy, estrogens etc.). We also discussed the many therapeutic options to prevent and treat a DVT and the evidence to help direct decision making. We also made a table listing all of the options with advantages and disadvantages. For example some advantages are: UFH is easily reversible, warfarin is oral and reversible with vit K and LMWH requires no drug monitoring. Some disadvantages include: fondaparinux is irreversible, dabigatran is dependent on renal function and expensive and warfarin requires INR blood work. We then used this information to solve a case of a patient with an evolving diagnosis.

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