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University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository

Specialty

Family Practice

Advisor

Dr. Elyse Watkins

Abstract

Deep venous thrombosis (DVT) of the extremities is a common type of venous thromboembolism (VTE) that can develop from a variety of causes, both provoked and unprovoked. Some patients will only need repeat ultrasound surveillance without anticoagulant treatment while others may need hospitalization, parenteral anticoagulants and/or thrombolysis. This case report focuses on a patient with a provoked distal DVT that was managed solely by the primary care provider (PCP) in a rural clinic-setting using pre-test-probability scoring, point-of-care testing (POCT), direct oral anticoagulants (DOACs), and outpatient diagnostic imaging. It demonstrates cost containment and time-saving strategies that benefits both patient and provider.

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