EP-03 Thrombosis in Practice: Referral Decisions, Treatment Failures, and Common Dilemmas

Thrombosis is a frequent – and often complex – part of internal medicine practice. In this episode of Clinical Currents, hosts Drs. Meredith Chiasson and Peter Gregory are joined by hematologists Drs. Erica Kelly and Amye Harrigan for a practical discussion on managing thrombosis in everyday clinical care. 

The conversation focuses on real-world decision-making – from referral thresholds and initial workup to managing patients with recurrent thrombosis while on anticoagulation – highlighting when hematology input is most helpful and how to avoid unnecessary testing. 

Listeners will gain insights into: 

• When to refer patients with venous or arterial thrombosis 

• Helpful baseline investigations before referral 

• A structured approach to suspected anticoagulation failure 

• Key factors influencing anticoagulant choice and dosing 

• When thrombophilia testing and cancer screening are appropriate 

Produced by the Dalhousie Department of Medicine for internal medicine physicians across the Maritimes. This podcast is for professional education only and should not be taken as personal medical advice. Content reflects Canadian practice unless otherwise noted.