What is Deep Vein Thrombosis DVT

Deep-vein thrombosis, also known as deep-venous thrombosis or DVT, is the formation of a blood clot ("thrombus") in a deep vein. It commonly affects the leg veins, such as the femo...

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Discussion:
First visit to Hematologist & Test Questions
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Yesterday I had my first visit to the hematologist. I wasn't thinking clearly I guess, and now have some questions about tests that maybe someone here has had.

I have the slew of blood tests, 3 of which need to be done on Monday, so they can be sent out and tested within 72 hours.
Basic Metabolic
Hepatic Function
Homocystine
Preg. Test (standard order according to the dr. I sure hope it's negative!)
Antithrombin III
Factor V Leiden
Lupus Anticoagulant Screen with extended testing for Antiphospholipid AB & Anticordiolipin AB
CBC/Platelet/ Manual Differential
Occult Blood Screen (gotta love that!)
Prothrombin 620210A gene
MTHFR C677T & A1298C gene

Then he ordered a head MRI since I have had vertigo and headaches since this fun journey began. I told my kids he is just making sure Mom has a brain. Last is a pelvic/ abdominal CT scan. The reason stated on the order sheet is "DVT: rule out occult malignancy". He had asked if the chest scan that the hospital performed included the pelvic region, then he saw it didn't , so he ordered one.

He is also an oncologist, so I wonder if he is just covering all possibilities. He had his female PA do a breast exam and then had her call to make sure I had a mammogram scheduled before I see him again. Is it standard practice to have cancer screens done after a DVT? I was sent home with two bottles of barium for the CT scan. My husband and I are a little concerned. I wasn't really worried until I saw this doctor! Thanks all for any input!
Posted on 10/30/09, 10:10 am
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Reply #11 - 11/10/09  3:33pm
" My family doctor sent me to a vascular surgeon who herself ordered a cat scan of the chest, abdomen and pelvic areas. She told me they were making sure no clots were in these areas. About 2 weeks later went to the oncologist, who also ordered all the blood work. I found out that I do have the prothrombin gene mutation(1 strand from one parent), and another one, but I can't remember what the other one is, just remember it was 5 letters and started with an "m". If I remember correctly, this one checks the homocystene levels. My level was normal on this one thank God. It does get to you having to wait for the results, not really knowing what might have triggered the dvt. "

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