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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Clin+Pract+Cases+Emerg+Med 2017 ; 1 (2): 104-7 Nephropedia Template TP
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Phelgmasia Cerulea Dolens Diagnosed by Point-of-Care Ultrasound #MMPMID29849409
Schroeder M; Shorette A; Singh S; Budhram G
Clin Pract Cases Emerg Med 2017[May]; 1 (2): 104-7 PMID29849409show ga
Phlegmasia cerulea dolens (PCD) is a rare entity that is associated with significant morbidity and mortality, including limb ischemia and pulmonary embolism. Point-of-care ultrasound (POCUS) can expedite the diagnosis, leading to earlier life- and limb-saving treatment. Although primarily used for assessing for the presence of deep venous thrombosis, in the appropriate clinical setting POCUS can also be used to diagnosis PCD as well as to distinguish between venous and arterial occlusion, which can lead to a difference in management. We present a case of phlegmasia cerulea dolens after mild trauma in a patient with an underlying hypercoagulability disorder diagnosed by an emergency physician using POCUS, which expedited treatment with catheter-directed thrombolytic therapy.