Superficial thrombophlebitis in pregnancy, second trimester
ICD-10 O22.22 is a billable code used to indicate a diagnosis of superficial thrombophlebitis in pregnancy, second trimester.
Superficial thrombophlebitis is an inflammatory condition of the veins, often associated with the formation of a thrombus (blood clot) in the superficial venous system. In pregnant women, particularly during the second trimester, the risk of venous complications increases due to physiological changes such as increased blood volume, hormonal influences, and pressure from the growing uterus on pelvic veins. Symptoms typically include localized pain, tenderness, and swelling along the affected vein, which may be palpable as a cord-like structure. Diagnosis is primarily clinical, supported by ultrasound if necessary to rule out deep vein thrombosis (DVT). Management may involve conservative measures such as compression stockings, elevation of the affected limb, and pain relief. In some cases, anticoagulation therapy may be indicated, especially if there is a risk of progression to DVT. It is crucial for healthcare providers to monitor these patients closely, as untreated superficial thrombophlebitis can lead to more serious complications.
Detailed clinical notes including symptoms, physical examination findings, and treatment plans.
A pregnant patient presenting with leg pain and swelling, diagnosed with superficial thrombophlebitis.
Consideration of the patient's obstetric history and any previous venous complications.
Comprehensive documentation of maternal and fetal health, including any high-risk factors.
Management of a high-risk pregnant patient with a history of venous thromboembolism.
Close monitoring of anticoagulation therapy and its effects on both mother and fetus.
Used for follow-up visits for patients with superficial thrombophlebitis.
Document the patient's symptoms, treatment plan, and any changes in condition.
Obstetricians should ensure that the visit is clearly related to the management of the pregnancy.
Common symptoms include localized pain, tenderness, swelling, and a palpable cord-like structure along the affected vein. Patients may also experience redness and warmth in the area.
