Phlegmasia cerulea dolens - Revision history

Mholtz at 05:25, 27 September 2019

2019-09-27T05:25:00Z

← Older revision		Revision as of 05:25, 27 September 2019
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	==External Links==		==External Links==


	==References==		==References==
	<references/>		<references/>
	*Rosen's Emergency Medicine 8th edition. 2013. Chapter: Pulmonary Embolism and Deep Vein Thrombosis p. 1159.
	*Dardik A. (2014, Feb 25). Phlegmasia Alba and Cerulea Dolens. eMedicine. Retrieved 12/21/2014 from http://emedicine.medscape.com/article/461809-overview.
	*Lip GY, et al. Overview of the treatment of lower extremity deep vein thrombosis (DVT). In: Post T, ed. UpToDate. Waltham, Mass.: UpToDate; 2014. www.uptodate.com. Accessed December 21, 2014.

	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:Orthopedics]]		[[Category:Orthopedics]]
	[[Category:Vascular]]		[[Category:Vascular]]

ClaireLewis at 16:59, 25 September 2019

2019-09-25T16:59:48Z

← Older revision		Revision as of 16:59, 25 September 2019
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	*Malignancy (20-40%)		*Malignancy (20-40%)
	*Inherited thrombophilia		*Inherited thrombophilia
	*Pregnancy		*[[Pregnancy]]
	*Trauma/surgery		*[[Trauma]]/surgery
	*Immobilization		*Immobilization
	*IVC filter		*IVC filter
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	==Evaluation==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*Duplex US		*Duplex [[Ultrasound: DVT\|US]]
	*Contrast venography		*Contrast venography

Rossdonaldson1: /* Management */

2019-04-02T04:03:05Z

Management

← Older revision		Revision as of 04:03, 2 April 2019
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	*Vascular surgery consult for emergent thrombectomy		*Vascular surgery consult for emergent thrombectomy
	*Interventional radiology consult for emergent catheter-directed thrombolysis		*Interventional radiology consult for emergent catheter-directed thrombolysis
	*[[Thrombolytic]] therapy		**[[Thrombolytic]] therapy: [[Alteplase]] (1mg/min to total of 50mg) distal to thrombus
	**[[Alteplase]] (1mg/min to total of 50mg) distal to thrombus

	==Disposition==		==Disposition==

Rossdonaldson1: /* Clinical Features */

2019-04-02T04:02:18Z

Clinical Features

← Older revision		Revision as of 04:02, 2 April 2019
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	==Clinical Features==		==Clinical Features==
	[[File:PCD2016.jpg\|thumb\|Two hour history of phlegmasia cerulea dolens (left leg)]]		[[File:PCD2016.jpg\|thumb\|Two hour history of phlegmasia cerulea dolens (left leg)]]
			[[File:PMC5198769 vsi-32-201f1.png\|thumb\|At presentation (A) and post-op day 1 (B).]]
	*Sudden severe leg pain		*Sudden severe leg pain
	*Swelling and edema (bleb/bullae)		*Swelling and edema (bleb/bullae)

Rossdonaldson1: /* Clinical Features */

2019-04-02T03:57:15Z

Clinical Features

← Older revision		Revision as of 03:57, 2 April 2019
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	==Clinical Features==		==Clinical Features==
			[[File:PCD2016.jpg\|thumb\|Two hour history of phlegmasia cerulea dolens (left leg)]]
	*Sudden severe leg pain		*Sudden severe leg pain
	*Swelling and edema (bleb/bullae)		*Swelling and edema (bleb/bullae)
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	*[[Compartment syndrome]]		*[[Compartment syndrome]]
	*Arterial compromise		*Arterial compromise
	*Shock		*[[Shock]]
	*Often preceded by [[phlegmasia alba dolens]]		*Often preceded by [[phlegmasia alba dolens]]

SLuckettG: /* Background */

2019-03-08T19:27:50Z

Background

← Older revision		Revision as of 19:27, 8 March 2019
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	==Background==		==Background==
	*"Painful Blue Leg"		*"Painful Blue Leg"
	*Massive iliofemoral occlusion		*Massive iliofemoral occlusion due to venous thromboembolism
	*Extensive vascular congestion and venous ischemia		*Extensive vascular congestion and venous ischemia

Line 7:		Line 7:
	*Age 50-60s		*Age 50-60s
	*Malignancy (20-40%)		*Malignancy (20-40%)
	*Idiopathic (10%)
	*Inherited thrombophilia		*Inherited thrombophilia
	*Pregnancy		*Pregnancy
	*Trauma/surgery		*Trauma/surgery
			*Immobilization
	*IVC filter		*IVC filter
			*10% of cases are idiopathic and occur in patients without risk factors

	==Clinical Features==		==Clinical Features==

ClaireLewis at 19:00, 27 March 2017

2017-03-27T19:00:36Z

← Older revision		Revision as of 19:00, 27 March 2017
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	**Steep limb elevation		**Steep limb elevation
	**Fluid resuscitation		**Fluid resuscitation
	**Heparin: 80-100U/kg followed by infusion of 15-18U/kg/hr		**[[Heparin]]: 80-100U/kg followed by infusion of 15-18U/kg/hr
	*Vascular surgery consult for emergent thrombectomy		*Vascular surgery consult for emergent thrombectomy
	*Interventional radiology consult for emergent catheter-directed thrombolysis		*Interventional radiology consult for emergent catheter-directed thrombolysis
	*Thrombolytic therapy		*[[Thrombolytic]] therapy
	**Alteplase (1mg/min to total of 50mg) distal to thrombus		**[[Alteplase]] (1mg/min to total of 50mg) distal to thrombus

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T18:26:31Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 18:26, 24 July 2016
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	*[[Superficial thrombophlebitis]]		*[[Superficial thrombophlebitis]]

	==~~Diagnosis~~==		==Evaluation==
	*Clinical diagnosis		*Clinical diagnosis
	*Duplex US		*Duplex US

Neil.m.young: Text replacement - "* " to "*"

2016-07-04T20:02:57Z

Text replacement - "* " to "*"

← Older revision		Revision as of 20:02, 4 July 2016
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	==Background==		==Background==
	* "Painful Blue Leg"		*"Painful Blue Leg"
	* Massive iliofemoral occlusion		*Massive iliofemoral occlusion
	* Extensive vascular congestion and venous ischemia		*Extensive vascular congestion and venous ischemia

	===Risk Factors===		===Risk Factors===
	* Age 50-60s		*Age 50-60s
	* Malignancy (20-40%)		*Malignancy (20-40%)
	* Idiopathic (10%)		*Idiopathic (10%)
	* Inherited thrombophilia		*Inherited thrombophilia
	* Pregnancy		*Pregnancy
	* Trauma/surgery		*Trauma/surgery
	* IVC filter		*IVC filter

	==Clinical Features==		==Clinical Features==
	* Sudden severe leg pain		*Sudden severe leg pain
	* Swelling and edema (bleb/bullae)		*Swelling and edema (bleb/bullae)
	* Cyanosis		*Cyanosis
	* Venous gangrene		*Venous gangrene
	* [[Compartment syndrome]]		*[[Compartment syndrome]]
	* Arterial compromise		*Arterial compromise
	* Shock		*Shock
	* Often preceded by [[phlegmasia alba dolens]]		*Often preceded by [[phlegmasia alba dolens]]

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Venous thromboembolism types}}		{{Venous thromboembolism types}}

	* [[Cellulitis]]		*[[Cellulitis]]
	* [[Lymphedema]]		*[[Lymphedema]]
	* [[Venous valvular insufficiency]]		*[[Venous valvular insufficiency]]
	* [[Superficial thrombophlebitis]]		*[[Superficial thrombophlebitis]]

	==Diagnosis==		==Diagnosis==
	* Clinical diagnosis		*Clinical diagnosis
	* Duplex US		*Duplex US
	* Contrast venography		*Contrast venography

	==Management==		==Management==
	* For mild, non-gangrenous form: Conservative management		*For mild, non-gangrenous form: Conservative management
	** Steep limb elevation		**Steep limb elevation
	** Fluid resuscitation		**Fluid resuscitation
	** Heparin: 80-100U/kg followed by infusion of 15-18U/kg/hr		**Heparin: 80-100U/kg followed by infusion of 15-18U/kg/hr
	* Vascular surgery consult for emergent thrombectomy		*Vascular surgery consult for emergent thrombectomy
	* Interventional radiology consult for emergent catheter-directed thrombolysis		*Interventional radiology consult for emergent catheter-directed thrombolysis
	* Thrombolytic therapy		*Thrombolytic therapy
	**Alteplase (1mg/min to total of 50mg) distal to thrombus		**Alteplase (1mg/min to total of 50mg) distal to thrombus

Ostermayer: Text replacement - "Category:Ortho" to "Category:Orthopedics"

2016-03-22T15:48:07Z

Text replacement - "Category:Ortho" to "Category:Orthopedics"

← Older revision		Revision as of 15:48, 22 March 2016
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	[[Category:Cardiology]]		[[Category:Cardiology]]
	[[Category:~~Ortho~~]]		[[Category:Orthopedics]]
	[[Category:Vascular]]		[[Category:Vascular]]