@entity1150 and XXXX in a Mountain Guide: Awareness, Diagnostic Challenges, and Management Considerations at Altitude.

@entity1 @entity32 @entity2657 @entity5892 @entity3126 @entity49 @entity3596 @entity1151 @entity2587 @entity1150 @entity1503 @entity519 @entity1031 @entity4461 @entity88 @entity5754 @entity715 @entity85 @entity24351 @entity130
UNASSIGNED: High intensity exercise is associated with several potentially thrombogenic risk factors, including dehydration and hemoconcentration, vascular @entity130 , @entity85 , @entity32 , long-distance travel, and contraceptive usage. These are well documented in case reports of @entity49 in track and field @entity2587 . For mountaineers and those working at high altitude, additional risks exist. However, despite there being a high degree of vigilance for "classic" conditions encountered at altitude (eg, @entity5754 , @entity3126 , and high altitude @entity2657 ), mainstream @entity3596 regarding thrombotic conditions and their complications in mountain @entity2587 is relatively low. This is significant because @entity1031 events (including @entity1150 , @entity1151 , and @entity5892 ) are not uncommon at altitude. We describe a case of @entity1150 and @entity1151 in a male mountain guide and discuss the diagnostic issues encountered by his medical practitioners. Potential risk factors affecting blood circulation (eg, seated car travel and compression of popliteal vein) and @entity1503 (eg, @entity519 , environmental and psychological stressors [avalanche risk, extreme cold]) relevant to the subject of this report and mountain @entity2587 in general are identified. Considerations for mitigating and managing @entity715 in addition to personalized care planning at altitude are discussed. The prevalence of @entity715 in mountain @entity2587 is uncharted, but lowlanders increasingly go to high altitude to @entity24351 , @entity88 , or climb. @entity4461 can and do occur in physically active @entity1 , and @entity715 prevention and recognition will demand heightened @entity3596 among @entity1 , healthcare practitioners, and the altitude sport/leisure industry at large.
