Paget-Schroetter disease physical examination: Difference between revisions

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{{ Paget-Schroetter disease }}
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{{CMG}}; {{AE}} {{Anahita}}
 
== Overview ==
 
Common physical examination findings of [[Paget-Schroetter disease]] include [[edema]], [[tenderness]], and dilated [[Vein|veins]] over the involved [[upper limb]].
 
== Physical Examination ==
 
=== Appearance of the Patient ===
 
* Patients with [[Paget-Schroetter disease]] usually appear normal.
 
=== Vital Signs ===
 
* No significant changes in [[vital signs]] can be noted.
 
=== Skin ===
 
*[[Cyanosis]]
*blue discoloration
 
=== HEENT ===
 
* HEENT examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Neck ===
 
* Neck examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Lungs ===
 
* Pulmonary examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Heart ===
 
* Cardiovascular examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Abdomen ===
 
* Abdominal examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Back ===
 
* Back examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Genitourinary ===
 
* Genitourinary examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Neuromuscular ===
Neuromuscular examination of patients with [[Paget-Schroetter disease]] is usually normal.
 
=== Extremities ===
 
* Urschel’s sign : Visible and dilated [[Vein|veins]] on shoulder, [[Upper limb|upper extremity]], base of neck and upper [[chest]].<ref name="pmid21079709">{{cite journal| author=Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK| title=Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis. | journal=West J Emerg Med | year= 2010 | volume= 11 | issue= 4 | pages= 358-62 | pmid=21079709 | doi= | pmc=2967689 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21079709  }}</ref>
*[[Tenderness (medicine)|Tenderness]]
* Tense [[upper limb]]<ref name="pmid29494023">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume= | issue= | pages= | pmid=29494023 | doi= | pmc= | url= }}</ref>
*[[Edema]] (increase in girth of affected arm compared to unaffected arm)<ref name="pmid294940232">{{cite journal| author=| title=StatPearls | journal= | year= 2020 | volume=  | issue=  | pages=  | pmid=29494023 | doi= | pmc= | url= }}</ref>
* Positive [[Roos test]]<ref name="DeLisaHensley2016">{{cite journal|last1=DeLisa|first1=L. C.|last2=Hensley|first2=C. P.|last3=Jackson|first3=S.|title=Diagnosis of Paget-Schroetter Syndrome/Primary Effort Thrombosis in a Recreational Weight Lifter|journal=Physical Therapy|year=2016|issn=0031-9023|doi=10.2522/ptj.20150692}}</ref>
* Palpation of [[Thrombosis|thrombosed]] vein in the [[axilla]].<ref name="HanggeRotellini-Coltvet2017">{{cite journal|last1=Hangge|first1=Patrick|last2=Rotellini-Coltvet|first2=Lisa |last3=Deipolyi|first3=Amy R. |last4=Albadawi|first4=Hassan |last5=Oklu|first5=Rahmi |title=Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes|journal=Cardiovascular Diagnosis and Therapy|volume=7|issue=S3|year=2017|pages=S285–S290|issn=22233652|doi=10.21037/cdt.2017.08.15}}</ref>
 
[[File:Superficial vein dilation.jpg|alt=Superficial vein dilation |center|thumb|600x600px|Significant edema, blue discoloration, and dilatation of the superficial veins in the patient’s right upper limb, Case courtesy by Ebru Aytekin, MD<ref>{{Cite web|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668195/|title=Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]]
[[File:Superficial collateralization.jpg|alt=Superficial collateralization|center|thumb|671x671px|Evident superficial collateralization in the chest, shoulder and upper right limb. Case courtesy by Dra Julieta Rosana Crosta, MD.<ref>{{Cite web|url=https://radiopaedia.org/cases/paget-schrotter-syndrome|title=Paget Schrötter syndrome|last=|first=|date=|website=|archive-url=|archive-date=|dead-url=|access-date=}}</ref>]]
 
*


==References==
==References==

Latest revision as of 20:17, 23 June 2020

Paget-Schroetter disease Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]

Overview

Common physical examination findings of Paget-Schroetter disease include edema, tenderness, and dilated veins over the involved upper limb.

Physical Examination

Appearance of the Patient

Vital Signs

Skin

HEENT

Neck

Lungs

Heart

Abdomen

Back

Genitourinary

Neuromuscular

Neuromuscular examination of patients with Paget-Schroetter disease is usually normal.

Extremities

Superficial vein dilation
Significant edema, blue discoloration, and dilatation of the superficial veins in the patient’s right upper limb, Case courtesy by Ebru Aytekin, MD[6]
Superficial collateralization
Evident superficial collateralization in the chest, shoulder and upper right limb. Case courtesy by Dra Julieta Rosana Crosta, MD.[7]

References

  1. ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). "Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis". West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
  2. ↑ "StatPearls". 2020. PMID 29494023.
  3. ↑ "StatPearls". 2020. PMID 29494023.
  4. ↑ DeLisa, L. C.; Hensley, C. P.; Jackson, S. (2016). "Diagnosis of Paget-Schroetter Syndrome/Primary Effort Thrombosis in a Recreational Weight Lifter". Physical Therapy. doi:10.2522/ptj.20150692. ISSN 0031-9023.
  5. ↑ Hangge, Patrick; Rotellini-Coltvet, Lisa; Deipolyi, Amy R.; Albadawi, Hassan; Oklu, Rahmi (2017). "Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes". Cardiovascular Diagnosis and Therapy. 7 (S3): S285–S290. doi:10.21037/cdt.2017.08.15. ISSN 2223-3652.
  6. ↑ "Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef".
  7. ↑ "Paget Schrötter syndrome".

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