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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
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Patient characteristics
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patients are typically younger, leaner, more likely to have a diagnosis of cancer, ess likely to have acquired or hereditary thrombophilia.
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Etiology
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repetitive microtrauma to the subclavian vein may cause inflammation, venous intima hyperplasia, and fibrosis
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Frequency of complications
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pulmonary embolism, recurrence at 12 months, and the post-thrombotic syndrome are all less frequent than in LE DVT
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Symptoms
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include discomfort, pain, paresthesias, and weakness in the arm
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signs
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Swelling, edema, discoloration, and visible venous collaterals are typical signs.
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The superior vena cava syndrome
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is manifested as facial swelling, headache, nausea, and dyspnea is usually caused by caval tumor infiltration
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Asymptomatic causes
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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.
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Compression ultrasonography,
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is the preferred imaging test for patients with suspected deep-vein thrombosis of an upper extremity.
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D dimer
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has a low specificity. A value of 500 has a 100% sensitivity and a 14% specificity
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