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10 Cards in this Set

  • Front
  • Back
DVT of the upper extremities
incidence
10% of all cases of deep-vein thrombosis involve the upper extremities. 0.4=1 case/10,000
Patient characteristics
patients are typically younger, leaner, more likely to have a diagnosis of cancer, ess likely to have acquired or hereditary thrombophilia.
Etiology
repetitive microtrauma to the subclavian vein may cause inflammation, venous intima hyperplasia, and fibrosis
Frequency of complications
pulmonary embolism, recurrence at 12 months, and the post-thrombotic syndrome are all less frequent than in LE DVT
Symptoms
include discomfort, pain, paresthesias, and weakness in the arm
signs
Swelling, edema, discoloration, and visible venous collaterals are typical signs.
The superior vena cava syndrome
is manifested as facial swelling, headache, nausea, and dyspnea is usually caused by caval tumor infiltration
Asymptomatic causes
Routine screening has revealed thrombosis in up to two thirds of patients with central venous catheters26; the majority of patients with catheter-associated thrombosis27 or with venous obstructions caused by pacemaker leads28 have no suggestive symptoms or signs.
Compression ultrasonography,
is the preferred imaging test for patients with suspected deep-vein thrombosis of an upper extremity.
D dimer
has a low specificity. A value of 500 has a 100% sensitivity and a 14% specificity