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The Intern At Work: Internal Medicine
271. (Repeat) The Internist's Guide to VTE
Feb 16, 2025
Dr. Jameel Abdulrehman, a hematologist at the University of Toronto, dives into the intricate world of venous thromboembolism (VTE) management. He discusses the latest CHEST Guidelines and compares direct oral anticoagulants to traditional therapies like warfarin. The conversation highlights risk assessment strategies, emphasizing gender-specific responses to anticoagulation. Abdulrehman also sheds light on extended anticoagulation for cancer-related thrombosis and managing superficial vein thrombosis, showcasing the complexities of treatment decisions.
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- Direct oral anticoagulants like Rivaroxaban and Apixaban are preferred for VTE management due to their efficacy and convenience over warfarin.
- The management of subsegmental pulmonary embolism may involve observation and careful monitoring rather than immediate anticoagulation, depending on individual patient risk factors.
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