Short answer question case series: a case of upper extremity oedema

The differential diagnosis for this patient's diffuse arm oedema should include deep vein thrombosis, lymphatic obstruction, thoracic outlet syndrome, superior vena cava syndrome, and less likely infectious causes such as cellulitis or necrotising fasciitis. Once a hypercoagulable workup is don...

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Bibliographic Details
Published inEmergency medicine journal : EMJ Vol. 31; no. 10; pp. 865 - 866
Main Authors Tzvetkova, Ekaterina, Jang, Timothy
Format Journal Article
LanguageEnglish
Published England BMJ Publishing Group LTD 01.10.2014
Subjects
Arm
Catheters
Diagnosis, Differential
Edema - diagnosis
Humans
Male
Molecular weight
Pain
Patients
Ultrasonic imaging
Upper Extremity Deep Vein Thrombosis - diagnosis
extremity
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Summary:The differential diagnosis for this patient's diffuse arm oedema should include deep vein thrombosis, lymphatic obstruction, thoracic outlet syndrome, superior vena cava syndrome, and less likely infectious causes such as cellulitis or necrotising fasciitis. Once a hypercoagulable workup is done (eg, antithrombin III testing), anticoagulation can be done with unfractionated or low molecular weight heparin (LMWH), or a factor Xa inhibitor such as fondaparinux. Patients with mild, intermittent or chronic symptoms may be managed as outpatients, whereas patients with severe or acute presentation are often admitted and evaluated by vascular surgery for neurovascular checks and possible thrombolysis.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:1472-0205
1472-0213
DOI:10.1136/emermed-2013-203563