Bloody Minded Episode 67 - Skin Deep | Superficial Thrombophlebitis
Nov 4, 2025
Dive into the intricate world of superficial thrombophlebitis, where beauty meets the risk of clots! Learn about the key superficial veins and the difference between thrombosis and phlebitis. Discover surprising syndromes linked to SVT and the risk factors that can contribute to this condition. The hosts also discuss diagnostic strategies, initial conservative treatments, and when to consider anticoagulation. Plus, find out how pregnancy affects SVT management. Stay informed and entertained on this fascinating journey through vascular health!
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SVT Often Hides Deeper Clots
- Superficial thrombophlebitis (SVT) is usually low risk for PE but can coexist with DVT about 25% of the time.
- Assume possible deep vein involvement until ultrasound proves otherwise.
Mondor Disease Example
- Cale and Bashar discuss Mondor disease as a sclerosing superficial thrombophlebitis of the anterior thoracic wall.
- They note Mondor often follows breast surgery and creates a palpable cord in the lower outer breast.
SVT Risk Mirrors DVT With Local Triggers
- Risk factors for SVT mirror those for DVT, with local trauma like cannulation particularly relevant.
- Varicose veins cause around 90% of lower limb SVTs due to valvular incompetence and stasis.