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Updated: Aug 19, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
[Misdiagnosis of venous thrombosis in childhood]
G Lachambre1, V Proulle, B Bader-Meunier
1Service de pédiatrie générale, hôpital de Bicêtre, assistance publique-hôpitaux de Paris, 78 rue du Général-Leclerc, 94270 Le Kremlin-Bicêtre, France.
Unlabelled:
Thrombotic events are often diagnosed with a delay that may be responsible for definite post-thrombotic syndrome.
Case Reports:
We report two cases, which emphasize the difficulty of the diagnosis of venous thrombosis in two boys, at age 11 and 12 respectively. The occurrence of a leg pain led to a misdiagnosis of arthritis of hip in both cases.
Conclusion:
Venous thrombosis must be searched for in children with unexplained persistent pain in leg. Precocious anticoagulation is essential for preventing post-thrombotic syndrome.
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Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
