scholarly journals Respiratory physiotherapy in patients with Cystic Fibrosis and upper limb deep vein thrombosis

Author(s):  
Tomer Israeli ◽  
Iris Eisenstadt ◽  
David Shoseyov ◽  
Shoshana Armoni ◽  
Alex Gileles-Hillel ◽  
...  

We report physiotherapy management of two patients with severe cystic fibrosis (CF) lung disease and upper limb deep vein thrombosis (DVT). These patients were admitted due to a pulmonary exacerbation. Following peripherally inserted central catheters they were diagnosed with an upper limb DVT. Due to their underlying lung disease, physiotherapy was mandatory for improvement. However, the DVT and anticoagulation treatment raised concerns for pulmonary emboli and hemoptysis. A framework for physiotherapy management in these patients, using a set of precautions and restrictions to maintain airway clearance while minimizing risk for pulmonary emboli and hemoptysis, was established. Using these set of instructions, the patients experienced no major adverse event while maintaining sufficient airway clearance to allow respiratory improvement. These precautions were continued until the upper limb DVTs resolved. To our knowledge there are currently no guidelines nor expert opinions available. Therefore, this framework can help guide physiotherapy management.

2013 ◽  
Vol 131 ◽  
pp. S99
Author(s):  
M. Casellas ◽  
S. Capote ◽  
A. Correa ◽  
F. Pérez-Ceresuela ◽  
L. Cabero

2010 ◽  
Vol 92 (5) ◽  
pp. e36-e38 ◽  
Author(s):  
REK Jones ◽  
PA McCann ◽  
DA Clark ◽  
P Sarangi

We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case with photographs and a three-dimensional colour reconstruction of a CT venogram to raise awareness of the condition. A suitable level of clinical suspicion should be maintained by the orthopaedic surgeon; delayed arm swelling with venous congestion following a clavicle fracture should be investigated with CT venography and thrombophilia should be excluded.


2018 ◽  
Vol 71 (11) ◽  
pp. A2158
Author(s):  
Sagar Ranka ◽  
Debalina De ◽  
Udit Joshi ◽  
Muhammad Talha Ayub ◽  
Jayakumar Sreenivasan

2012 ◽  
Vol 55 (1) ◽  
pp. 234-236 ◽  
Author(s):  
Claire Magee ◽  
Claire Jones ◽  
Stuart McIntosh ◽  
Denis W. Harkin

Thrombosis ◽  
2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Amy Leung ◽  
Clare Heal ◽  
Jennifer Banks ◽  
Breanna Abraham ◽  
Gian Capati ◽  
...  

Background. Central venous catheters and peripherally inserted central catheters are well established risk factors for upper limb deep vein thrombosis. There is limited literature on the thrombosis rates in patients with peripheral catheters. A prospective observational study was conducted to determine the incidence of peripheral catheter-related thrombosis in surgical patients. Methods. Patients deemed high risk for venous thrombosis with a peripheral catheter were considered eligible for the study. An ultrasound was performed on enrolment into the study and at discharge from hospital. Participants were reviewed twice a day for clinical features of upper limb deep vein thrombosis during their admission and followed up at 30 days. Results. 54 patients were included in the study. The incidence of deep vein thrombosis and superficial venous thrombosis was 1.8% and 9.2%, respectively. All cases of venous thrombosis were asymptomatic. Risk factor analysis was limited by the low incidence of thrombosis. Conclusion. This study revealed a low incidence of deep vein thrombosis in surgical patients with peripheral catheters (1.8%). The study was underpowered; therefore the association between peripheral catheters and thrombosis is unable to be established. Future studies with larger sample sizes are required to determine the association between peripheral catheters and thrombosis.


Author(s):  
Rupak Chatterjee ◽  
Sumanta Sinha ◽  
Kumkum Sarkar ◽  
Debananda Gonjhu ◽  
Sekhar Pal ◽  
...  

AbstractAmong the various complications reported to be caused by tuberculosis (TB), thrombogenic potential is a rare entity. Here, we report a case of colonic tuberculosis in a 30-year-old male who developed left upper limb deep vein thrombosis (DVT). Ruling out other possible causes of DVT and improvement of the affected limb with antitubercular drugs led to conclusion that DVT was most probably due to TB.


Author(s):  

This is a case of upper limb deep vein thrombosis in a HIV positive patient who had also been diagnosed of Non-Hodgkins Lymphoma. This case highlights the importance of thromboprophylaxis and thrombotic risk assessment in all HIV positive as well as cancer patients particularly in low resource setting which are at risk of increased morbidity and mortality.


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