Summary writer: Jorja Braden
Editor: James Edwards
Interviewee: Shafqat Inam
James talks to Dr Shafqat Inam about Thrombosis and Thrombophilia and when it is appropriate to investigate for underlying causes of thromboembolism and outline initial management.
Shafqat Inam is currently a Haematology registrar at Royal Prince Alfred Hospital and Concord Hospital and Associate Lecturer at the University of Sydney. He studied medicine at the University of New South Wales and completed his junior medical officer and basic physician training at Royal Prince Alfred Hospital. He has a particular interest in research and medical education.
With Dr Shafqat Inam, Haematology Advanced Trainee at Royal Prince Alfred Hospital and Concord Hospital, New South Wales, Australia
As a junior doctor you are likely to encounter thromboembolic disease, both in the Emergency Department and on the wards. In the work up of any case of thrombosis the junior doctor should be aware of the possibility of an underlying thrombophilia. In this podcast, we discuss when it is appropriate to investigate for underlying causes of thromboembolism and outline initial management.
Case – You are a junior doctor working in the Emergency Department when a 35 year old woman presents with a 3 day history of right leg swelling. Doppler ultrasound confirms a thrombus extending from the popliteal to the superficial femoral vein.
Investigating for thrombophilia
NB: Direct thrombin inhibitors and Factor Xa inhibitors are contraindicated in renal failure
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