Deep vein thrombosis: clinical implications for the chiropractor. A single case study with retrospective analysis of risk factors for a patient with fatal complications

Abstract

Deep vein thrombosis (DVT) offers a significant diagnostic challenge to the primary health care practitioner. It is a common complaint with multiple risk factors and the potential for serious or fatal complications, yet an estimated 80% of DVTs are clinically asymptomatic. A further challenge, particularly to physical specialists, is that the 20% that do present with symptoms can mimic musculoskeletal pain.

This case outlines the presentation of a young female patient who presented with a history of posterior calf pain and of investigation for DVT. She was treated with apparent success, yet died shortly afterward from a pulmonary embolism, the commonest complication from a DVT. The diagnostic and investigative considerations are discussed along with risk factors for this condition.