Paget-Schroetter disease physical examination: Difference between revisions
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=== Vital Signs === | === Vital Signs === | ||
* No significant vital signs can be noted. | * No significant changes in [[vital signs]] can be noted. | ||
=== Skin === | === Skin === | ||
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* 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> | ||
[[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>]] | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 16:48, 9 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:
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 changes in vital signs can be noted.
Skin
- Cyanosis
- blue discoloration
Extremities
- 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]
![Superficial vein dilation](/images/2/2f/Superficial_vein_dilation.jpg)
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.
- ↑ "Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef".