深静脉血栓症作为恶性病的预兆在急诊室
Mehmet Cihat Demir1, Kudret Selki1
1Department of Emergency Medicine, School of Medicine, Duzce University, Duzce, Turkiye.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|December 9, 2024
概括
诊断深静脉血栓 (DVT) 的急诊室诊断可以导致早期恶性瘤检测. 在没有已知的癌症的患者中,超过5%的患者在一年内被诊断出恶性瘤,特别是那些患有二次DVT的患者.
科学领域:
- 紧急医疗 紧急医疗
- 在瘤学瘤学.
- 放射学 放射学是一门学科.
背景情况:
- 深静脉血栓症 (DVT) 是急诊室的一个常见诊断.
- 早期发现潜在的恶性瘤对于改善患者的治疗结果至关重要.
- 大脑内瘤和新诊断的癌症之间的关联需要进一步研究.
研究的目的:
- 调查深静脉血栓瘤 (DVT) 患者在急诊室 (ED) 呈现一年内诊断出的恶性瘤的发生率.
- 在这个患者队列中确定与DVT相关的风险因素和常见的癌症类型.
主要方法:
- 通过静脉多普勒超声波在ED中对224名被诊断为下肢DVT的患者进行了一项描述性研究.
- 已经存在或疑似恶性瘤的患者被排除在外.
- 随访评估了一年内发现恶性瘤,将DVT分类为二次性或异常性.
主要成果:
- 在1年内检测到5.4% (12/224) 的DVT患者有恶性病变.
- 在二级DVT组中,恶性发病的发现显着更高 (OR = 4.52).
- 生殖尿路和胃肠道癌症占新诊断的恶性瘤的83.3%.
结论:
- 在患有DVT到ED的患者中,在一年内发现了大量的新恶性瘤 (5.4%).
- 紧急服务部门是早期识别潜在癌症的关键点.
- 加强对DVT患者的初级保健随访可以改善早期诊断和生存率,特别是在胃肠道和胃肠道癌症.
相关概念视频
Assessment of the Cardiovascular System III: Palpation
193
Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
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...
Jugular Venous Pressure (JVP) Measurement
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...
193
Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
Veins of Lower Limbs
626
The human body consists of an intricate network of veins responsible for the crucial task of blood drainage from the lower limbs. These veins can be categorized into two main types: deep veins and superficial veins.
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
Formed by the union of the medial and lateral plantar veins, the posterior tibial vein, rising through the calf muscle, assimilates the fibular vein. The anterior tibial vein, a superior extension of the foot's dorsalis pedis vein, merges with the posterior tibial vein at the...
626
Cardiovascular System Abnormal Findings I: Inspection and Palpation
261
In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Abnormal findings observed during an inspection
261
Assessment of the Cardiovascular System II: Inspection
175
Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
175
Esophageal Varices-I: Introduction
73
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
73


