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Upper Extremity DVT

Trask ADT - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Upper Extremity DVT

History: 82 yo female with history significant for HTN and hypothyroidism was admitted to WRAMC for one day of dyspnea associated with exertion. It was exacerbated by movement and alleviated with rest. Patient denied chest pain/jaw-arm numbness/diaphoresis/LOC. She was admitted for atrial fibrillation with right ventricular hypertrophy. Rate was controlled with metoprolol and IV labetalol. She was also given lovenox once daily for thrombotic prophylaxis. However, during hospital day 5, patient was found to have edema in her right upper extremity.

Findings: Compression ultrasonography with color duplex imaging of right upper extremity showed two brachial veins accompanying the brachial artery. At the point of distal brachial artery, the right brachial vein is noted to have a lumen with variable echogenicity. Compression view at the distal brachial veins shows incomplete collapse of the apposing walls of the right brachial vein. Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view. Compression and color flow views of the right internal jugular, axillary, cephalic, basilic, and proximal brachial veins showed low echogenicity, compressible walls, and normal flow.

Ddx: * Upper extremity DVT * Thrombophlebitis * Cellulitis * Lymphangitis, lymph obstruction * Venous insufficiency

Dxhow: Using ultrasonography of right upper extremity with compression and color flow studies

Exam: Alert and oriented x3, communicative. No JVD. Bibasilar crackles in chest. Tachycardic with irregularly irregular rhythm. No rubs/murmurs. Soft, nontender, normoactive BS, no organomegaly. Pulses 2+/palpable. Tender right upper extremity with edema and slight erythema.

No MeSH data available.


Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view.
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MPX1262_synpic34383: Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view.


Upper Extremity DVT

Trask ADT - MedPix (2007)

Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1262&req=5

MPX1262_synpic34383: Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Upper Extremity DVT

History: 82 yo female with history significant for HTN and hypothyroidism was admitted to WRAMC for one day of dyspnea associated with exertion. It was exacerbated by movement and alleviated with rest. Patient denied chest pain/jaw-arm numbness/diaphoresis/LOC. She was admitted for atrial fibrillation with right ventricular hypertrophy. Rate was controlled with metoprolol and IV labetalol. She was also given lovenox once daily for thrombotic prophylaxis. However, during hospital day 5, patient was found to have edema in her right upper extremity.

Findings: Compression ultrasonography with color duplex imaging of right upper extremity showed two brachial veins accompanying the brachial artery. At the point of distal brachial artery, the right brachial vein is noted to have a lumen with variable echogenicity. Compression view at the distal brachial veins shows incomplete collapse of the apposing walls of the right brachial vein. Color-flow of the right brachial vein shows a partial filling defect on longitudinal view and non-filling color flow on transverse view. Compression and color flow views of the right internal jugular, axillary, cephalic, basilic, and proximal brachial veins showed low echogenicity, compressible walls, and normal flow.

Ddx: * Upper extremity DVT * Thrombophlebitis * Cellulitis * Lymphangitis, lymph obstruction * Venous insufficiency

Dxhow: Using ultrasonography of right upper extremity with compression and color flow studies

Exam: Alert and oriented x3, communicative. No JVD. Bibasilar crackles in chest. Tachycardic with irregularly irregular rhythm. No rubs/murmurs. Soft, nontender, normoactive BS, no organomegaly. Pulses 2+/palpable. Tender right upper extremity with edema and slight erythema.

No MeSH data available.