DVT Case Study Assignment

Assignment 2 Freena Wani
1. The patient's history shows that the patient is complaining nocturnal pain, not related to movement in the bed. For the physical therapist, this is one of the red flag indicating the systemic origin of the pain (Goodman & Snyder, 2013). Another red flag is that as a long-shore man, the patient used to lift heavy weights every day. Additionally, he complains of insidious onset of throbbing pain in low back, right groin, and right leg. These all signs and symptoms require the therapist to take a detailed assessment to find out possible serious pathology.

2. According to Miller (2013), the nocturnal pain occurs without any movement indicates any systemic diseases such as cardiovascular, metastatic tumor, or infectious conditions. Generally, the nocturnal pain occurs due to musculoskeletal problems, aggravates by the movement or the positional changes, and relieves by the rest. In this case, the patient should be screened to rule out systemic disease associated with vascular problems because throbbing pain signifies vascular pathology (Goodman & Snyder, 2013).

3. It is possible that radicular pain from the lumbosacral region occurs at night …show more content…
The therapist should be alert with all the possible signs and symptoms of DVT while evaluating the patient. The therapist should always look for the most common signs of DVT such as tenderness, redness, swelling, and warmth (Goodman & Snyder, 2013). Wells criteria of clinical decision rules for DVT diagnosis are most commonly recommended to rule out the DVT in an outpatient setting (Riddle & Wells, 2004). The score of the Wells criteria ranges between -2 to 9 with the score 3 or more indicates a high possibility of DVT (Goodman & Snyder, 2013). Additionally, the therapist should only use the tests with very high sensitivity to rule out the DVT (Riddle & Wells,

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