Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT

Abstract Background Upper extremity deep vein thrombosis (UEDVT) is an uncommon disease but has to be carefully considered in patients with isolated unilateral upper limb swelling due to its potential to cause devastating complications and sequelae such as pulmonary embolism and septic thrombophlebi...

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Autores principales:	Gregory Tan, Mingwei Ng
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Upper extremity Deep vein thrombosis Ultrasound Augmentation Colour Doppler Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/18ae11a261394a23b2fd0d887c11c77e
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spelling	oai:doaj.org-article:18ae11a261394a23b2fd0d887c11c77e2021-11-08T10:44:37ZEmergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT10.1186/s12245-021-00391-41865-13721865-1380https://doaj.org/article/18ae11a261394a23b2fd0d887c11c77e2021-11-01T00:00:00Zhttps://doi.org/10.1186/s12245-021-00391-4https://doaj.org/toc/1865-1372https://doaj.org/toc/1865-1380Abstract Background Upper extremity deep vein thrombosis (UEDVT) is an uncommon disease but has to be carefully considered in patients with isolated unilateral upper limb swelling due to its potential to cause devastating complications and sequelae such as pulmonary embolism and septic thrombophlebitis. Given the extreme rarity of this condition, it is not surprising that point-of-care ultrasonographic evaluation of the upper limb for deep venous thrombosis is hardly ever performed in the emergency department. This case report serves to highlight how point-of-care ultrasonographic evaluation of the upper extremity venous system could be incorporated as a tool in the diagnostic armamentarium of the emergency physician. Case presentation A 51-year-old Chinese gentleman presented to the emergency department with a 1-day duration of progressive right upper extremity swelling and pain. On examination, his hemodynamic parameters were stable with no tachycardia. He was noted to have a hyperaemic and grossly swollen but non-tender right upper limb. Distal pulses remained strong. Point-of-care ultrasonography of his right upper limb venous system with Doppler colour flow and single-point augmentation with the arm squeeze manoeuvre immediately confirmed the diagnosis of right upper extremity deep venous thrombosis, which in turn permitted anticoagulation to be instituted promptly whilst in the emergency department. Conclusion The use of point-of-care ultrasonography of the upper limb venous system can prove invaluable as a rapid, non-invasive technique to facilitate expedient diagnosis of and early intervention for UEDVT in the emergency department.Gregory TanMingwei NgBMCarticleUpper extremity Deep vein thrombosisUltrasoundAugmentationColour DopplerMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENInternational Journal of Emergency Medicine, Vol 14, Iss 1, Pp 1-4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Upper extremity Deep vein thrombosis Ultrasound Augmentation Colour Doppler Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Upper extremity Deep vein thrombosis Ultrasound Augmentation Colour Doppler Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Gregory Tan Mingwei Ng Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
description	Abstract Background Upper extremity deep vein thrombosis (UEDVT) is an uncommon disease but has to be carefully considered in patients with isolated unilateral upper limb swelling due to its potential to cause devastating complications and sequelae such as pulmonary embolism and septic thrombophlebitis. Given the extreme rarity of this condition, it is not surprising that point-of-care ultrasonographic evaluation of the upper limb for deep venous thrombosis is hardly ever performed in the emergency department. This case report serves to highlight how point-of-care ultrasonographic evaluation of the upper extremity venous system could be incorporated as a tool in the diagnostic armamentarium of the emergency physician. Case presentation A 51-year-old Chinese gentleman presented to the emergency department with a 1-day duration of progressive right upper extremity swelling and pain. On examination, his hemodynamic parameters were stable with no tachycardia. He was noted to have a hyperaemic and grossly swollen but non-tender right upper limb. Distal pulses remained strong. Point-of-care ultrasonography of his right upper limb venous system with Doppler colour flow and single-point augmentation with the arm squeeze manoeuvre immediately confirmed the diagnosis of right upper extremity deep venous thrombosis, which in turn permitted anticoagulation to be instituted promptly whilst in the emergency department. Conclusion The use of point-of-care ultrasonography of the upper limb venous system can prove invaluable as a rapid, non-invasive technique to facilitate expedient diagnosis of and early intervention for UEDVT in the emergency department.
format	article
author	Gregory Tan Mingwei Ng
author_facet	Gregory Tan Mingwei Ng
author_sort	Gregory Tan
title	Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
title_short	Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
title_full	Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
title_fullStr	Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
title_full_unstemmed	Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT
title_sort	emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ed pocus for upper extremity dvt
publisher	BMC
publishDate	2021
url	https://doaj.org/article/18ae11a261394a23b2fd0d887c11c77e
work_keys_str_mv	AT gregorytan emergencydepartmentpointofcareultrasoundforupperextremitydeepvenousthrombosisedpocusforupperextremitydvt AT mingweing emergencydepartmentpointofcareultrasoundforupperextremitydeepvenousthrombosisedpocusforupperextremitydvt
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Emergency department point-of-care ultrasound for upper extremity deep venous thrombosis ED POCUS for upper extremity DVT

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