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Effort thrombosis: recognition and management while underway.

P B Mitchell1, D C MacGillivray, M D Almond

  • 1Medical Department, USS Abraham Lincoln (CVN 72), FPO, San Francisco, CA 96612-2872.

Military Medicine
|October 11, 1991
PubMed
Summary
This summary is machine-generated.

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Effort thrombosis, or effort vein thrombosis, of the upper extremities is rare but serious. Prompt diagnosis and treatment are crucial for military personnel to prevent severe complications like pulmonary embolism.

Area of Science:

  • Vascular Surgery
  • Emergency Medicine
  • Military Health

Background:

  • Effort thrombosis of the axillary and subclavian veins is an uncommon condition causing upper extremity swelling.
  • Early recognition and management are vital to prevent serious complications such as pulmonary embolism and postphlebitic syndrome.

Observation:

  • A case of a sailor experiencing effort vein thrombosis while deployed on an aircraft carrier is presented.
  • This scenario highlights the challenges of diagnosing and treating venous thrombosis in remote or operational environments.

Findings:

  • The case underscores the importance of considering effort thrombosis in active individuals presenting with unilateral upper extremity swelling.
  • Diagnostic modalities and treatment strategies should be adapted for field or underway conditions.

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Implications:

  • This condition requires specific consideration in military operational medicine, especially for personnel engaged in strenuous activities.
  • Effective management protocols are essential to ensure the health and readiness of military service members.