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Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
Published on: February 10, 2023
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Lower extremity deep vein thrombosis after heavy exertion
1Department of Medicine, Dr SN Medical College, Jodhpur, Rajasthan, India.
BMJ Case Reports
|November 20, 2013
Summary
A sedentary woman developed leg pain and swelling after a 25 km walk. Doppler ultrasound confirmed deep vein thrombosis (DVT) in her anterior tibial and popliteal veins, indicating a blood clot.
Area of Science:
- Vascular Medicine
- Diagnostic Imaging
- Orthopedics
Background:
- Sedentary lifestyle increases risk for venous thromboembolism.
- Prolonged physical exertion can be a trigger for thrombosis in susceptible individuals.
- Deep vein thrombosis (DVT) involves blood clots in deep veins, often in the legs.
Observation:
- A young woman with a sedentary history experienced left leg pain and swelling after a 25 km walk.
- Clinical and orthopaedic evaluations were largely normal, with localized swelling and calf tenderness noted.
- Mild elevation in creatine phosphokinase (CPK) was observed, alongside normal hematological and biochemical markers.
Findings:
- Doppler ultrasound is a key diagnostic tool for identifying venous thrombosis.
- The study identified thrombosis in the anterior tibial vein and popliteal vein.
- These findings confirm deep vein thrombosis (DVT) in the affected leg.
Implications:
- This case highlights the potential for DVT in young, otherwise healthy individuals following unaccustomed strenuous activity.
- Early diagnosis via Doppler ultrasound is crucial for effective DVT management.
- Understanding triggers like prolonged walking is important for preventative strategies against venous thromboembolism.
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