Scanning proximal DVT can be tricky!
However as with anything ultrasound, the key to evaluating is taking a systematic approach. In this Coaching Corner Suean takes you through a systematic 5 step method that guides you from groin to calf. By applying this approach, in combination with the 3Ps, you'll be scanning with ease in no time flat.
PLUS - reference was made to research on the coincidence of cellulitis and DVT. Access the article referred to here:
Risk of deep vein thrombosis in patients with cellulitis and erysipelas: a systematic review and meta-analysis
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Chapters
01:55 - anatomy
04:50 - arteries vs. veins
06:22 - the 3Ps: probe, preset, patient position
12:00 - sonographic technique: 2-point, 3-point and groin to knee
14:55 - groin to calf DVT US - how to do it
16:05 - step 1: identify the SFJ
16:42 - step 2: identify the CFV
17:12 - step 3: identify the GSV
18:13 - technique demonstration groin to knee
18:55 - sonographic appearance of groin to knee
17:12 - step 4: image and evaluate the FV prox.mid thigh/distal
21:00 - technique demonstration FV compression
17:12 - step 5: image and evaluate the PV & SSV
23:06 - technique demonstration PV & SSV
23:27 - sonographic appearance PV to calf vein
24:10 - how much pressure is the right amount?
25:03 - proper compression technique
26:12 - dealing with artifact
26:50 - using colour Doppler
27:50 - DVT cases, tips and tricks: the winking vs. non winking vein, scan in two planes, dual imaging, using colour Doppler, Thrombus,
36:30 - False positives: superficial thrombophlebitis, Baker's cyst, Lymph nodes, pseudoaneurysm, complications (duplication, cellulitis)
45:45 - Q&A