scholarly journals A Case Report on Paget-Schroetter Syndrome Presenting as Acute Localized Rhabdomyolysis

2020 ◽  
Vol 4 (3) ◽  
pp. 358-361
Author(s):  
Jonathan Lee ◽  
Ami Kurzweil ◽  
Shadi Lahham
Keyword(s):  
Case Report ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Axillary Vein ◽  
Vein Thrombosis ◽  
Chiari Type 1 Malformation ◽  
Arm Swelling ◽  
History Of ◽  
Vein Stenosis ◽  
Deep Vein

Introduction: The life- or limb-threatening differential diagnosis for upper extremity swelling can include deep vein thrombosis (DVT), infectious processes, and compartment syndrome. Chronic anatomic abnormalities such as axillary vein stenosis are rarely a consideration in the emergency department. Case Report: We present a 26-year-old female with history of Chiari type 1 malformation who presented with acute left arm swelling. Initial workup, including point-of-care ultrasound, revealed the presence of significant soft tissue swelling without evidence of DVT. Conclusion: Further workup revealed an early, localized rhabdomyolysis secondary to axillary vein stenosis or venous thoracic outlet syndrome, also known as Paget-Schroetter syndrome.

scholarly journals How Point-of-Care Ultrasound led to a diagnosis of May-Thurner Syndrome

POCUS Journal ◽  
2021 ◽  
Vol 6 (2) ◽  
pp. 76-79
Author(s):  
Daniel Belkin ◽  
Mitchell Belkin ◽  
Maedeh Ashrafi ◽  
Charan Vegivinti ◽  
Yung-Hsien Wang ◽  
...  
Keyword(s):  
Groin Pain ◽  
Point Of Care ◽  
Lumbar Vertebrae ◽  
Point Of Care Ultrasound ◽  
Left Groin ◽  
Vein Thrombosis ◽  
Left Limb ◽  
History Of ◽  
Deep Vein

A 65-year-old man with a history of a left-sided inguinal hernia presented with three days of left-sided groin pain worsened with exertion and fatigue. The patient was afebrile but tachycardic, and physical examination revealed a tender, erythematous immobile bulge in his left groin. Laboratory studies revealed leukocytosis. Lymphadenopathy secondary to infectious or inflammatory etiology was suspected. However, point-of-care ultrasound (POCUS) identified extensive deep vein thrombosis (DVT) of the lower left limb. Follow-up imaging revealed this to be secondary to May-Thurner syndrome, a mechanical compression of an iliocaval vein against the lumbar vertebrae by a common iliac artery. This report demonstrates how POCUS can be used to identify lower extremity DVT, thereby expediting diagnosis and treatment and potentially preventing complications.

scholarly journals Role of Ultrasound in Neurocritical Care

2020 ◽  
Author(s):  
Rashmi Bhatt ◽  
Puneet Khanna
Keyword(s):  
Neurocritical Care ◽  
Point Of Care ◽  
Circulatory Arrest ◽  
Clinical Findings ◽  
Transcranial Sonography ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Neurosurgical Patient ◽  
Cerebral Circulatory Arrest ◽  
Deep Vein

AbstractBedside point of care ultrasound has acquired an extremely significant role in diagnosis and management of neurocritical care, just as it has in other specialties. Easy availability and increasing expertise have allowed the intensivists to use it in a wide array of situations, such as confirming clinical findings as well as for interventional and prognostic purposes. At present, the clinical applications of ultrasonography (USG) in a neurosurgical patient include estimation of elevated intracranial pressure (ICP), assessment of cerebral blood flow (CBF) and velocities, diagnosis of intracranial mass lesion and midline shifts, and examination of pupils, apart from the systemic applications. Transcranial sonography has also found use in the diagnosis of the cerebral circulatory arrest. An increasing number of clinicians are now relying on the use of ultrasound in the neurointensive care unit for neurological as well as non-neurological indications. These uses include the diagnosis of shock, respiratory failure, deep vein thrombosis and performing bedside procedures.

scholarly journals A case of May-Thurner Syndrome: An old anomaly but, a new suggestion: A case report

2019 ◽  
Vol 31 (3) ◽  
pp. 230-232
Author(s):  
Şule Gökçe
Keyword(s):  
Case Report ◽  
Sports Medicine ◽  
Iliac Vein ◽  
Common Iliac Vein ◽  
Ultrasound Screening ◽  
Vascular Abnormalities ◽  
Vein Thrombosis ◽  
History Of ◽  
The Right ◽  
Deep Vein

May-Thurner syndrome (MTS) is an anatomical condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine. MTS is rarely diagnosed because diagnostic workup is seldom continued once the diagnosis of a deep vein thrombosis (DVT) has been established. Furthermore, patients with DVT generally have several well-known confounding risk factors. We report a 16-year-old girl with a history of left leg swelling who was incidentally diagnosed with MTS. We hope that our case report will create awareness of vascular abnormalities in sports medicine and suggest that routine venous Doppler ultrasound screening may help to detect MTS or associated anatomical prior to the formation of early thrombosis.

scholarly journals A Rare Case Report of Deep Vein Thrombocytosis associated with Brucellosis in Iran

2021 ◽  
Author(s):  
Majid Ghafouri ◽  
Mojtaba Danafar ◽  
Azar Shokri
Keyword(s):  
Deep Vein Thrombosis ◽  
Case Report ◽  
Rare Case ◽  
Zoonotic Diseases ◽  
Human Brucellosis ◽  
Vein Thrombosis ◽  
Male Farmer ◽  
Rare Case Report ◽  
History Of ◽  
Deep Vein

Brucellosis is among the most prevalent zoonotic diseases that can involve almost any organ. Here we present a case of deep vein thrombosis due to human brucellosis. We described a 62 old male farmer with a history of brucellosis and deep vein thrombosis on his right leg

scholarly journals Considerations for Implementing Point-of-Care Ultrasound in a Community-Based Family Medicine Residency Program

2019 ◽  
Vol 6 ◽  
pp. 238212051988432
Author(s):  
Megan Weemer ◽  
Matt Hutchins ◽  
Eric Beachy ◽  
Nicole McGuire
Keyword(s):  
Family Medicine ◽  
Residency Program ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Family Medicine Residency ◽  
Vein Thrombosis ◽  
Recent Graduates ◽  
Barriers To Implementation ◽  
Procedural Guidance ◽  
Deep Vein

Background: Prior to implementing Point-of-Care Ultrasound (POCUS) training into our Family Medicine Residency Program, we sought to determine opinions on the most relevant applications according to current Family Medicine residents and recent graduates. As there are so many POCUS applications relevant to Family Medicine, it would be efficient to teach only the most relevant scans. Objective: Examine current POCUS use and the perception of future use among current residents and recent graduates of a Family Medicine Residency Program. Methods: In 2017, an electronic survey was used to examine differences in perceptions regarding the value of POCUS applications, benefits of use, and potential barriers to implementation. Results: Of the 88 surveys sent, 21 of 21 current residents (100%) and 28 of 67 recent graduates (41.8%) completed the survey with a total completion rate of 55.7%. The POCUS practices differed between groups. Current residents were significantly more likely than recent graduates to use POCUS for vascular procedural guidance and other procedural guidance. Recent graduates were significantly more likely to report POCUS use for abdominal aortic aneurysm screening and lower extremity Doppler screening for deep vein thrombosis. All P values were significant at the .05 level. Conclusions: Point-of-Care Ultrasound training is generally desired by current residents. Some applications are perceived to be of sufficient utility by current residents and recent graduates. Findings would justify investment of time and effort required to implement POCUS training in Family Medicine Residency curriculums. Curriculum should focus on applications viewed as high priority based on usage rates.

scholarly journals Left lower extremity swelling with a normal Doppler study

2020 ◽  
pp. 102490792094128
Author(s):  
Jonathan Chun-Hei Cheung ◽  
Chi Hung Koo ◽  
Koon Ngai Lam
Keyword(s):  
Emergency Department ◽  
Deep Vein Thrombosis ◽  
Lower Extremity ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Vein Thrombosis ◽  
Left Lower Extremity ◽  
Doppler Study ◽  
Deep Vein ◽  
Paraplegic Patient

A 65-year-old paraplegic patient just discharged from the medical ward 2 days ago with a negative left lower extremity Doppler study for deep vein thrombosis. He presented to the emergency department for deteriorating lower extremity swelling. Point-of-care ultrasound helped to swiftly arrive at the diagnosis and facilitate prompt management.

Sign in / Sign up

Export Citation Format

Share Document