Acute/ chronic case study review

Question 1

A patient presents with leg welling and you are asked to rule out DVT. Compression’s of the vessels were all normal. However, during the scan you obtain the image below. What are 2 possible reasons why?

Answer 1

A couple possible answers are
1. Colour gains are patient specific
2. Clot or extrinsic mass proximal (explain the condition)

Question 2

You obtain a waveform from the CFV and get the image below. What normal aspect is missing from this waveform?

Answer 2

Respirophasicity

Question 3

Based on your answers from the previous questions (image above), which vessels listed would be the next logical to interrogate?

Answer 3

The right CFV and Left Iliac Vein

Question 4

Based on the information provided for this patient, what is the most likely diagnosis?

Answer 4

Proximal DVT or extrinsic compression

Question 5

Based on your diagnosis, list two possible treatment options for this patient?

Answer 5

1. Anticoagulation
2. Inject thrombolytic
3. Vein ballooning
4. Cable filter