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Objectives

• Discuss the guidelines in the diagnosis and management of deep vein thrombosis, with special attention to provoked vs unprovoked causes as well as common vs uncommon risk factors.
• Highlight the need for reserving a constant index of suspicion in cases of thrombophilia where a rare and/or global disease process may be underlying.
• Review of myelopathy in pediatric patients.
• Discuss metabolic factors that impact neurologic and hematologic physiology.
• Identify the characteristic gait deviations observed in patients with spastic diplegia and explain the underlying neuromuscular and biomechanical contributors to abnormal gait patterns.
• Formulate a comprehensive rehabilitation plan for patients with acquired spinal cord dysfunction by incorporating gait and orthotic management, neurogenic bowel and bladder care, skin preservation, and pain management.

Practice Change

• Delineate provoked vs unprovoked thrombosis, identify risk factors for thrombosis, and refer to appropriate specialists in thrombophilia cases occurring in medically complex patients.
• Review and validate the diagnoses from referring providers to maintain a broad differential diagnosis.

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