Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 19467
  Title A patient with deep vein thrombosis presenting to a chiropractic clinic: a case report
URL http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&dopt=Citation&list_uids=17320737
Journal J Manipulative Physiol Ther. 2007 Feb;30(2):144-151
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes OBJECTIVE: The objective of this article is to present and discuss a case of deep vein thrombosis in a chiropractic clinic setting.

CLINICAL FEATURES: A 33-year-old male patient presented for follow-up chiropractic care for a long-term low back complaint. A working diagnosis of facet joint syndrome was made. Despite improvement of low back symptoms, the patient experienced right-sided groin pain. The patient was referred to the hospital with a provisional diagnosis of deep vein thrombosis.

INTERVENTIONS AND OUTCOMES: The patient consulted a physician, and within 2 hours of chiropractic consultation, his entire leg had become painful. Doppler ultrasound revealed extensive thrombosis. He was placed on heparin and was hospitalized for 8 days. On discharge, a full-length right leg stocking and moderate exercise were recommended. Consecutive checkups were scheduled with the clot almost resolved at 19 months postdiagnosis.

CONCLUSION: This case report highlights the importance for the manipulative therapist to be aware of cardiovascular disease mechanisms and associated risk factors, so comanagement via referral to the appropriate specialist can occur.

First author: Matthew Fernandez, MChiro

Click on the above link for the PubMed record for this article; full text by subscription. This abstract is reproduced with the permission of the publisher. DOI Link

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