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Table 3 Management of patients with venous gangrene

From: Venous gangrene and cancer: A cool look at a burning issue

Investigations:
   • Full Blood Count looking at the platelets count
   • INR
   • D-dimers
   • Anticardiolipin antibody levels
   • Protein C & S levels
   • Venous doppler/venography
   • Arterial pulses (palpation or by hand-held doppler)
Treatment
   • Stop warfarin
   • Start LMWH or DTI is cases of proven HIT
   • Limb elevation to decrease the swelling
   • Good nutrition and hydration of the patient
   • Treatment of the underlying malignancy
   • Venous thrombectomy or intrathrombus catheter-directed thrombolysis