Here is a slightly different twist on Virchow’s triad, and one that I had not seen before until yesterday: a spontaneous upper extremity DVT (Paget Schroetter Disease) in an otherwise healthy person with no risk factors. It’s uncommon, but not a complete zebra. The pathophysiology and subsequent management also differs from your traditional DVT, so I thought it was worthwhile to highlight some of the features that make it unique.
The EMBER: as always, a collection of interesting information about this topic from around the web.
Paget–Schroetter disease – Wikipedia
First rib resection for Paget-Schroetter Syndrome – YouTube
Spontaneous upper extremity venous thrombosis (Paget-Schroetter syndrome) – Up To Date
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