Paget-Schroetter disease physical examination: Difference between revisions
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== Physical Examination == | == Physical Examination == | ||
* [[Cyanosis]] | === Appearance of the Patient === | ||
* 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]] | * Patients with [[Paget-Schroetter disease]] usually appear normal. | ||
* 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> | === Vital Signs === | ||
* No significant vital signs can be noted. | |||
=== Skin === | |||
*[[Cyanosis]] | |||
* 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> | * 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> | * 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> | ||
Revision as of 15:23, 9 June 2020
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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
- Patients with Paget-Schroetter disease usually appear normal.
Vital Signs
- No significant vital signs can be noted.
Skin
- Cyanosis
- Urschel’s sign : Visible and dilated veins on shoulder, upper extremity, base of neck and upper chest.[1]
- Tenderness
- Tense upper limb[2]
- Edema (increase in girth of affected arm compared to unaffected arm)[3]
- Positive Roos test[4]
- Palpation of thrombosed vein in the axilla.[5]
References
- ↑ 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.
- ↑ "StatPearls". 2020. PMID 29494023.
- ↑ "StatPearls". 2020. PMID 29494023.
- ↑ 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.
- ↑ 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.