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Deep Vein Thrombosis of the Upper Extremity

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141. Varicose Veins (Treatment)

indications for surgery. Patients with venous outflow obstruction should not have their varicosities ablated, because they are important bypass pathways that allow blood to flow around the obstruction. Those patients who cannot remain active enough to reduce the risk of postoperative deep vein thrombosis (DVT) should not undergo surgery. Surgery during pregnancy is contraindicated because many varicose veins of pregnancy spontaneously regress after delivery. Management of varicose veins has evolved over (...) . Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg . 1996 Mar. 10(2):186-9. . Coon WW, Willis PW 3rd, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh community health study. Circulation . 1973 Oct. 48(4):839-46. . Callam MJ. Epidemiology of varicose veins. Br J Surg . 1994 Feb. 81(2):167-73. . Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic

2014 eMedicine Surgery

142. Varicose Veins (Follow-up)

indications for surgery. Patients with venous outflow obstruction should not have their varicosities ablated, because they are important bypass pathways that allow blood to flow around the obstruction. Those patients who cannot remain active enough to reduce the risk of postoperative deep vein thrombosis (DVT) should not undergo surgery. Surgery during pregnancy is contraindicated because many varicose veins of pregnancy spontaneously regress after delivery. Management of varicose veins has evolved over (...) . Correction of lower extremity deep venous incompetence by ablation of superficial venous reflux. Ann Vasc Surg . 1996 Mar. 10(2):186-9. . Coon WW, Willis PW 3rd, Keller JB. Venous thromboembolism and other venous disease in the Tecumseh community health study. Circulation . 1973 Oct. 48(4):839-46. . Callam MJ. Epidemiology of varicose veins. Br J Surg . 1994 Feb. 81(2):167-73. . Carpentier PH, Maricq HR, Biro C, Ponçot-Makinen CO, Franco A. Prevalence, risk factors, and clinical patterns of chronic

2014 eMedicine Surgery

143. Upper Respiratory Tract Infection (Diagnosis)

of pharyngitis that leads to a suppurative thrombophlebitis of the internal jugular vein; septic thromboemboli may then spread throughout the body. Complications of sinusitis include the following: Orbital cellulitis Subperiosteal abscess Orbital abscess Mastoiditis Frontal or maxillary osteomyelitis Subdural abscess Cavernous sinus thrombosis Brain abscess Suspect a deep tissue infection when a patient has orbital or periorbital swelling, proptosis, impaired extraocular movements, or impaired vision. Signs (...) Upper Respiratory Tract Infection (Diagnosis) Upper Respiratory Tract Infection: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAyNDYwLW92ZXJ2aWV3 processing

2014 eMedicine.com

144. Upper Respiratory Tract Infection (Overview)

of pharyngitis that leads to a suppurative thrombophlebitis of the internal jugular vein; septic thromboemboli may then spread throughout the body. Complications of sinusitis include the following: Orbital cellulitis Subperiosteal abscess Orbital abscess Mastoiditis Frontal or maxillary osteomyelitis Subdural abscess Cavernous sinus thrombosis Brain abscess Suspect a deep tissue infection when a patient has orbital or periorbital swelling, proptosis, impaired extraocular movements, or impaired vision. Signs (...) Upper Respiratory Tract Infection (Overview) Upper Respiratory Tract Infection: Practice Essentials, Background, Pathophysiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMzAyNDYwLW92ZXJ2aWV3 processing

2014 eMedicine.com

145. Upper-Extremity Deep Vein Thrombosis and Downhill Esophageal Varices Caused by Long-Term Pacemaker Implantation Full Text available with Trip Pro

Upper-Extremity Deep Vein Thrombosis and Downhill Esophageal Varices Caused by Long-Term Pacemaker Implantation Upper-extremity deep vein thrombosis is common after pacemaker or cardioverter-defibrillator implantation. Only 1% to 3% of patients with upper-extremity deep vein thrombosis become symptomatic. Downhill esophageal varices develop in the upper third of the esophagus as a result of the obstruction of the superior vena cava. Herein, we report the case of a 54-year-old man--a recipient (...) of multiple implanted cardiac pacemakers--who presented with bilateral upper-extremity deep vein thrombosis. This severely symptomatic condition was complicated by very rare and life-threatening downhill varices of the upper esophagus, but without bleeding. To the best of our knowledge, this is the 1st report of this array of conditions.

2010 Texas Heart Institute Journal

146. Upper extremity deep vein thrombosis. (Abstract)

Upper extremity deep vein thrombosis. Upper extremity deep vein thrombosis (UEDVT) is associated with significant morbidity and mortality. The susceptible populations and risk factors for UEDVT are well-known. The presenting symptoms can be subtle, and therefore objective testing is necessary for diagnosis. The optimal diagnostic strategy has not been determined, and more than one test may be required to exclude the diagnosis. Proper treatment reduces the occurrence of complications

2010 Clinics in Chest Medicine

147. Focused Lower Extremity Venous Ultrasound

Focused Lower Extremity Venous Ultrasound Focused Lower Extremity Venous Ultrasound Aka: Focused Lower Extremity Venous Ultrasound , Venous Doppler Ultrasound of Lower Extremity , DVT Ultrasound , Limited Assessment of Lower Extremity Venous System for Deep Vein Thrombosis , Lower Extremity Doppler , Compression Ultrasonography , Compression Ultrasound From Related Chapters II. Efficacy: DVT diagnosis by standard Compression Ultrasonography (by experienced Ultrasound tech) Symptomatic patient (...) Vein Thrombosis (DVT) Video How to: Lower Extremity with (Sonosite) V. Advantages Can be done in the office setting is highly sensitive for deep vein thrombi VI. Disadvantages is not sensitive for detecting thrombi in calves VII. References Derr (2012) Introduction and Advanced Emergency Medicine Conference, GulfCoast , St. Pete's Beach Reardon (2013) Emergency Course, 3rd Rock , Minneapolis, MN Noble (2011) Emergency and Critical Care , Cambridge University Press, New York, p. 173-89 Reardon (2011

2015 FP Notebook

148. Central venous port implantations via the cephalic vein applying an intravasal electrographic control of the catheter tip position: a single-center experience of 316 cases. (Abstract)

-2,604) were documented. Of 35 explanted devices, the explantation was necessary due to complications in 28 cases (8.6%) with infection n = 6 (1.9%, 0.037 per 1,000 catheter days), occlusion n = 8 (2.5%, 0.050 per 1,000 catheter days), dislocation n = 7 (2.2%, 0.044 per 1,000 catheter days), deep vein thrombosis of the upper extremity n = 6 (1.9%, 0.037 per 1,000 catheter days), and clotting n = 1 (0.3%, 0.006 per 1,000 catheter days). Premature catheter removal (<30d post-operatively) was required (...) in 6 patients (1.9%, 0.037 per 1,000 catheter days) due to complications: 3 catheter dislocations/malfunctions (0.9%, 0.019 per 1,000 catheter days), one port related infection, one pocket port infection, and one deep vein thrombosis of the upper extremity (0.3%, 0.006 per 1,000 catheter days).The intra-atrial ECG techniques to judge correct tip positioning for central venous port implantations are simple and economical. The exact position can be determined intraoperatively. It can justify

2012 World journal of urology

149. Adjunctive use of the superficial femoral vein for vascular reconstructions. Full Text available with Trip Pro

fistulas, and one common carotid-to-vertebral bypass). Indications for arterial bypass included infected graft (20), critical limb ischemia (nine), and failed bypass (six). Indications for central venous bypass were: superior vena cava syndrome (two), vessel reconstruction due to tumor encasement (one), and central vein occlusion from thoracic outlet syndrome (one). All AV fistulas were created after patients sustained bilateral subclavian vein occlusions from failed upper extremity access. The common (...) time, 21 months). Complications occurred in 22 patients (52%) and included wound complications (n = 19; 45.2%); deep vein thrombosis (n = 1; 2.4%); anastomotic breakdown (n = 1; 2.4%); hematoma (n = 4; 9.5%); pulmonary embolism (n = 2; 4.8%); and compartment syndrome (n = 2; 4.8%).The SFV is a durable conduit for uses beyond aortic reconstruction and should be considered when the great saphenous vein is not available or size match is a concern. However, wound complications remain

2012 Journal of Vascular Surgery

150. Superficial Venous Thrombosis

Overview of Aneurysms SOCIAL MEDIA Add to Any Platform Loading , MD, McMaster University Click here for Patient Education NOTE: This is the Professional Version. CONSUMERS: Superficial venous thrombosis is a blood clot in a superficial vein of the upper or lower extremities or, less commonly, in one or more veins of the chest or breast (Mondor disease). Superficial venous thrombosis in the upper extremity most commonly results from IV infusions or catheterization; varicose veins seem to be the main (...) risk factor for the lower extremity, especially among women. Superficial venous thrombi rarely cause serious complications and rarely become emboli. Typically, patients present with pain, tenderness, or an indurated cord along a palpable superficial vein. The overlying skin is usually warm and erythematous. Migratory superficial venous thrombosis, which develops, resolves, and recurs in normal veins of the arms, legs, and torso at various times, is a possible harbinger of pancreatic cancer

2013 Merck Manual (19th Edition)

151. Lower-Extremity Edema During Late Pregnancy

measurement Urine protein measurement CBC, electrolytes, BUN, glucose, creatinine, liver function tests Cellulitis Tender unilateral swelling in a leg or calf, erythema (asymmetric), warmth, and sometimes fever Manifestations often more circumscribed than in DVT Ultrasonography to rule out DVT unless swelling is clearly localized Examination for source of infection DVT = deep venous thrombosis. Evaluation Evaluation aims to exclude DVT and preeclampsia. Physiologic edema is a diagnosis of exclusion (...) for evidence of fluid overload (eg, audible S 3 or S 4 heart sounds, tachypnea, rales, crackles) and inspection of neck veins for jugular venous distention. The abdomen should be palpated for tenderness, especially in the epigastric or right upper quadrant region. Neurologic examination should assess mental status for confusion and seek focal neurologic deficits. Red flags The following findings are of particular concern: BP ≥ 140/90 mm Hg Unilateral leg or calf warmth, redness, or tenderness

2013 Merck Manual (19th Edition)

152. Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users

be administered. Active Comparator: Conventional Enoxaprin Conventional Enoxaparin before 12hr and on 1-7th day after index surgery Drug: Enoxaparin Enoxaparin 40mg SQ/day 12hr before TKRA and on day 1 to day7 after TKRA should be administered. Outcome Measures Go to Primary Outcome Measures : Development of deep vein thrombosis diagnosed and confirmed by CT angiography at lower extremities [ Time Frame: 7days after index surgery ] Secondary Outcome Measures : D-dimer, lipid panel (Total cholesterol, TG, HDL (...) Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users Re-STOP DVT: Reload of High Dose Atorvastatin for Preventing Deep Vein Thrombosis in Statin Users - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove

2010 Clinical Trials

153. Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease. A randomized controlled trial. (Abstract)

. A randomized controlled trial. 1082 eng Comment Journal Article Randomized Controlled Trial Germany Thromb Haemost 7608063 0340-6245 0 Anticoagulants 9005-49-6 Heparin IM Thromb Haemost. 2004 Sep;92(3):654-61 15351864 Anticoagulants administration & dosage Catheterization, Central Venous adverse effects instrumentation Catheters, Indwelling adverse effects Hematologic Neoplasms drug therapy Heparin administration & dosage Humans Infusions, Parenteral Treatment Outcome Upper Extremity Deep Vein Thrombosis (...) Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease. A randomized controlled trial. 21090148 2011 04 08 2011 05 23 2567-689X 104 5 2010 Nov Thrombosis and haemostasis Thromb. Haemost. Expression of concern: Prevention of central venous line-related thrombosis by continuous infusion of low-dose unfractionated heparin, in patients with haemato-oncological disease

2011 Thrombosis and haemostasis Controlled trial quality: uncertain

154. Canadian Stroke Best Practice recommendations: rehabilitation, recovery, and community participation following stroke. Part one: rehabilitation and recovery following stroke; 6th edition update 2019

) People with moderate or severe stroke, who are ready for rehabilitation and have goals amenable to rehabilitation, should be given an opportunity to participate in inpatient stroke rehabilitation (Evidence Level A). International Journal of Stroke, 0(0) 6 International Journal of Stroke 0(0)Section 3: Recommendations on delivery of inpatient stroke rehabilitation Earlymobilizationpoststrokeisintendedtoreducethe risk of medical complications, including deep vein thrombosis, pressure sores, painful (...) and mobility, informed by new evidence, or a re-evaluation of older evidence, as these arethe areas where the most evidence is found. For upper extremity rehabilitation, new recommendations have been provided to address thosepersonswhoareunabletoproduceanyvoluntary muscle activity in the a?ected upper limb, which focus on compensatory techniques using the non-paretic arm and associated adaptive equipment to enable basic activities of daily living (ADL). More speci?c recom- mendations now discourage the use

2020 CPG Infobase

155. HemaClear for bloodless surgical field during limb surgery

) patients having endoscopic procedures (for example, endoscopic carpal tunnel release). Surgeons should use HemaClear with the help of nurses or other operating theatre staff. Because of its effect on the cardiovascular system, anaesthetists should also be involved. The company states that the device should not be used in patients with an existing deep vein thrombosis, poor peripheral blood flow, oedema, an infected limb or limb with malignancy. It should also not be used directly on fragile skin (...) to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 6 of 15Despite being contraindicated in patients with a known deep vein thrombosis, there are still concerns about use in patients who may be at risk of developing a venous thromboembolism. A case report by Feldman et al. (2015) showed 2 patients with traumatic injuries who developed pulmonary emboli after using HemaClear, 1 of which was fatal. They suggest caution in using the device and highlight a safety

2019 National Institute for Health and Clinical Excellence - Advice

156. Subacromial decompression surgery for adults with shoulder pain Full Text available with Trip Pro

of serious harms Moderate GRADE score, because of: Data from a well performed registry study of mixed surgical procedures, resulting in indirect evidence for subacromial decompression Observed harms include: Deep vein thrombosis (20.0%) Pulmonary embolism (18.6%) Pneumonia (13.8%) Sepsis and serious infections (9.0%) Bleeding transfusion (8.3%) GRADE certainty ratings The authors have a lot of confidence that the true effect is similar to the estimated effect The authors believe that the true effect (...) account of the recommendation being reported; that no important aspects of the recommendation have been omitted; and that any discrepancies from the recommendation as planned (and, if relevant, registered) have been explained. Provenance and peer review: Commissioned; externally peer reviewed References Bot SD , van der Waal JM , Terwee CB , et al . Incidence and prevalence of complaints of the neck and upper extremity in general practice . Luime JJ , Koes BW , Hendriksen IJ , et al . Prevalence

2019 BMJ Rapid Recommendations

157. Recommendations for good practice in Ultrasound: Oocyte retrieval Full Text available with Trip Pro

for patients and operators alike ( ). Patient selection is an important consideration. Although conscious sedation is a well-tolerated option for most patients, in some circumstances, deep sedation could be preferable such as in cases of: – extreme anxiety, associated pathologies that can complicate OPU, making the procedure longer or painful such as in extensive endometriosis, pelvic adhesions, ovaries with many follicles or ovaries that are difficult to access, patients with associated personal (...) or physiological saline solution at the minimum speed required in order to keep the vein open. Correction of blood glucose levels and any other infusions should be performed according to local protocols. The patient must empty her bladder immediately prior to OPU. An empty bladder improves the image quality during transvaginal examination as it decreases the posterior enhancement (US artefact), whereas a full bladder can distort the anatomy of the uterus and ovary and may increase the risk of injuries. Patient

2020 European Society of Human Reproduction and Embryology

158. Clinical care of severe acute respiratory infections – Tool kit

unit for adults CDC Centers for Disease Control and Prevention (United States of America) CFR case fatality ratio CNS central nervous system CO cardiac output CO 2 carbon dioxide COPD chronic obstructive pulmonary disease CPAP continuous positive airway pressure CPOT Critical-Care Pain Observation Tool CR capillary refill CVC central venous catheter CVP central venous pressure DBP diastolic blood pressure DVT deep venous thrombosis ECG electrocardiogram ECMO extracorporeal membrane oxygenation EN (...) external bleeding Apply pressure, deep wound packing or tourniquet as indicated. Signs of tamponade (poor perfusion, distended neck veins, mu ed heart sounds) Give IV uids, oxygen. Disability D Signs of brain injury (AMS with wound, deformity or bruising of head/face) Immobilize cervical spine, check glucose, give nothing by mouth. ? Will need neurosurgical care Signs of open skull fracture (as above, with blood or uid from the ears/nose) As above, and give IV antibiotics per local protocol. REMEMBER

2020 WHO Coronavirus disease (COVID-19) Pandemic

159. ESC Guidance for the Diagnosis and Management of CV Disease during the COVID-19 Pandemic Full Text available with Trip Pro

. The viral incubation period is 2–14 days, (mostly 3–7 days). 21 It is contagious during the latency period. can initially be detected 1–2 days prior to onset of upper respiratory tract symptoms. Mild cases were found to have an early viral clearance, with 90% of these patients repeatedly testing negative on reverse transcriptase polymerase chain reaction (RT- ) by day 10 post-onset. By contrast, all severe cases still tested positive at or beyond day 10 post-onset. 22 Median duration of viral shedding (...) in the containment phase of the epidemic; Quality of sample collection (deep nasal swab) and transport (time) to laboratories are essential to avoid false negative outcomes; Lung computed tomography ( ) imaging may be used as a key diagnostic test in COVID-19. As evidenced by previous epidemics, including and , highly sensitive and specific laboratory diagnostics are essential for case identification, contact tracing, animal source finding, and efficient and rational containment measures. 50 Precise case

2020 European Society of Cardiology

160. Thrombosis

vessel or the organ supplied by it. Venous thrombosis [ ] Main article: Deep vein thrombosis [ ] Main article: Deep vein thrombosis (DVT) is the formation of a blood clot within a . It most commonly affects leg veins, such as the . Three factors are important in the formation of a blood clot within a deep vein—these are the rate of blood flow, the thickness of the blood and qualities of the vessel wall. Classical signs of DVT include , pain and redness of the affected area. [ ] Paget-Schroetter (...) [ ] Main article: Hypercoagulability or thrombophilia , is caused by, for example, or . Recent studies indicate that white blood cells play a pivotal role in deep vein thrombosis, mediating numerous pro-thrombotic actions. Endothelial cell injury [ ] Any inflammatory process, such as trauma, surgery or infection, can cause damage to the of the vessel's wall. The main mechanism is exposure of to the blood coagulation system. Inflammatory and other stimuli (such as ) can lead to changes in in endothelium

2012 Wikipedia

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