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Feb 8 2010, 2:37 AM EST
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AndyC
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Change: Moved by AndyC Feb 8 2010, 2:37 AM EST
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Aug 14 2009, 2:42 AM EDT
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Change: vein( drains thigh previously known as profunda femoris vein) Popliteal vein Three paired veins drain the calf – The anterior tibial veins ATV (lateral) – The peroneal veins (medialPV(medial and deep) – And the posterior tibial veins (Medial)PTV(Medial) These veins run parallel to
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Aug 11 2009, 8:43 PM EDT
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Change: The first is with symptoms of calf-popliteal vein DVT. Most patients with acute DVT will initially develop symptoms of pain and swelling in the calf of one leg The symptoms tend to increase with ambulation and improve with rest. There may be associated increased warmth,
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Aug 11 2009, 8:33 PM EDT
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Change: (DVT) is a common clinical problem that complicates many medical and surgical disorders It can cause morbidity in itself due to acute pain and swelling of the affected limb, and it may also cause structural damage to the valves of the deep veins that results in the postphlebitic syndrome.
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Aug 11 2009, 8:03 PM EDT
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Change: Deep vein thrombosis (DVT) is a common medical condition with a wide range of manifestations that range from an asymptomatic state to a classic symptomatic DVT, with important sequelae of pulmonary embolism, chronic venous insufficiency, and postphlebitic syndrome. Clinical examination is insensitive, and objective tests are required for the diagnosis
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Aug 6 2009, 4:21 AM EDT
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Change: radiationradiation, no IV contrast medium and when performed by a Sonographer is a highly sensitive test. There may be limitations in visulalising the calf veins due to oedema and obesity. Indications Leg venography is performed almost exclusively to exclude deep vein thrombosis (DVT) DVT is a
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Aug 5 2009, 3:41 PM EDT
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Change: is the gold standard and should always be the imaging modality of choice, as there are no needles, no radiation no contrast and when performed by a Sonographer is a highly sensitive test. There may be limitations in visulalising the calf veins due to oedema and obesity. Indications Leg
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Aug 5 2009, 3:40 PM EDT
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Change: imaging.(compression technique and colour Doppler flow) .Ultrasound should always be the imaging modality of choice, as there are no needles, no radiation and when performed by a Sonographer is a highly sensitive test. There may be limitations in visulalising the calf veins due to oedema and obesity. Indications Leg
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Jun 8 2009, 9:25 AM EDT
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Change: 3/453/4 inch butterfly needle 2325 ml syringes1drawing up canula1swab1tape120 ml normal saline in 25 ml syringe2tourniquetRadiographic TechniquePreparationLeg venography can be performed 'blind' using serial exposures
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Jun 8 2009, 9:24 AM EDT
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Change: technique- don't change cassettes so quickly that you beat the contrast bolus up the legrepeat injection and imaging may be required (ie a second run)Don't use too low a kVp- you want to be able to penetrate the contrast-filled veinsIf the patientspatient is unsteady,
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Jun 8 2009, 6:34 AM EDT
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Change: Other superficial veins may bypass the saphenous veins to drain mor proximallly inot the gluteal veins or the vsins of the lower abdomen. The perforating veins penetrate through the deep fascia to connect the deep veins with the superficial veins. They are present from foot to groin. Lower extremity
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Jun 8 2009, 6:01 AM EDT
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Change: The superficial veins consist of the long and short saphenous trunks and their tributaries. Multiple arcades (commonly three) join the greater and lesser saphenuos systems.Lower extremity Venous Anatomy Can be broadly divided into twothree componentsSuperficial andveinsDeep systemsveinsPerforating veinsThe superficial system
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Jun 7 2009, 2:35 AM EDT
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Change: Locked by Jun 7 2009, 2:35 AM EDT for: no reason given
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Jun 7 2009, 2:35 AM EDT
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Change: 'Emla' local anaesthetic cream can be applied to the dorsum of the patient's foot 90 minutes prior to the procedure to reduce the pain associated with the needle insertion.Tray Setup121 guage 3/45 inch butterfly needle225 ml syringes1drawing up canula1swab1tape
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Jun 7 2009, 2:15 AM EDT
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Change: 20 ml normal saline in 25 ml syringe2tourniquetTechniquePreparationLeg venography can be performed 'blind' using serial exposures on a 35 x 43 cm (17 x 14 inch)
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Jun 7 2009, 12:20 AM EDT
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Change: Note the flow void simulating a narrowing of the femoral veinPathologyA vein containing thrombus will either appear as an occluded vein or may have a 'train track' appearance cause by the contrast running around the thrombussource: Mosby 2003 in www.elcamino.edu/faculty/mcolunga/RT%20255/Venography%20&%20Lymphography.pptThis
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Jun 7 2009, 12:07 AM EDT
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Change: ImagesPathologyA vein containing thrombus will either appear as an occluded vein or may have a 'train track' appearance cause by the contrast running around the thrombussource: Mosby 2003 in www.elcamino.edu/faculty/mcolunga/RT%20255/Venography%20&%20Lymphography.pptThis venogram image demonstrates extensive DVT of the deep veinsAftercare
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Jun 6 2009, 10:47 PM EDT
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Change: This venogram image demonstrates extensive DVT of the deep veinsAftercarePatient should be observed for 1 hour to ensure no adverse reaction to contrast media or bleeding from injection site increase fluid intakeComplicationsVenogram induced DVTcontrast allergic reaction (anaphylaxis)extravisation of contrast medianausea/vomitingpulmonary embolus injection
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Jun 6 2009, 10:33 PM EDT
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Change: The ankle torniquet must be tight for the initial imaging of the calf veins. The torniquet will occlude the superficial but not the deep veins.
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Jun 6 2009, 10:01 PM EDT
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Change: If you are using a fluoroscopy unit, the Radiologist may be imaging and the radiographer may be injecting. If you are injecting, check the injection site continuously to ensure that there is no extravistaion of contrast into the soft tissues of the patient's foot.Technique TipsAll imaged
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