Get the free Suspected Deep Vein Thrombosis Referral Form October 2008 - icid salisbury nhs
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Suspected Deep Vein Thrombosis Referral Form Patient Details: Hospital no. Surname NHS no. Forenames Previous surname Date of birth Address Title Sex M/F Home tel. No. Work tel. No. Mobile no. Post
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How to fill out suspected deep vein thrombosis
How to fill out suspected deep vein thrombosis:
01
Obtain a suspected deep vein thrombosis form from your healthcare provider or hospital.
02
Start by filling out your personal information such as your name, date of birth, and contact information.
03
Provide a detailed description of your symptoms, including any pain, swelling, or redness you may be experiencing.
04
Indicate the duration of your symptoms and if they have been getting worse or staying the same.
05
Mention any recent surgeries, injuries, or long periods of immobility that may have contributed to your condition.
06
Include any relevant medical history, such as a previous diagnosis of deep vein thrombosis or a family history of the condition.
07
Provide a list of medications you are currently taking, including any blood thinners or other anticoagulant drugs.
08
If you have any known risk factors for deep vein thrombosis such as obesity, smoking, pregnancy, or a history of blood clotting disorders, make sure to mention them.
09
Indicate any other relevant information, such as recent travel or prolonged periods of sitting.
10
Finally, sign and date the form, acknowledging that the information provided is accurate to the best of your knowledge.
Who needs suspected deep vein thrombosis?
01
Individuals who are experiencing symptoms such as pain, swelling, or redness in their legs or arms.
02
Those who have recently undergone a surgery or suffered an injury that may have increased their risk of developing deep vein thrombosis.
03
People with a family history of deep vein thrombosis or other blood clotting disorders.
Note: It is always essential to consult with a healthcare professional if you suspect you have deep vein thrombosis. This answer is for informational purposes only and should not be considered medical advice.
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What is suspected deep vein thrombosis?
Suspected deep vein thrombosis is a condition where blood clots form in the deep veins of the body, most commonly in the legs.
Who is required to file suspected deep vein thrombosis?
Healthcare professionals are required to file reports of suspected deep vein thrombosis.
How to fill out suspected deep vein thrombosis?
To fill out a report of suspected deep vein thrombosis, healthcare professionals must include information about the patient's symptoms, medical history, and any diagnostic tests conducted.
What is the purpose of suspected deep vein thrombosis?
The purpose of reporting suspected deep vein thrombosis is to track and monitor cases of this potentially serious condition for public health purposes.
What information must be reported on suspected deep vein thrombosis?
Information such as patient demographics, symptoms, diagnostic test results, and treatment plans must be reported on suspected deep vein thrombosis.
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