FLEGMASIA CERULEA DOLENS EPUB DOWNLOAD!
Chinsakchai K, Ten Duis K, Moll FL, de Borst GJ. Trends in management of phlegmasia cerulea dolens. Vasc Endovasc Surg. ;– Phlegmasia cerulea dolens (PCD) is more advanced and considered a precursor of frank venous gangrene. It is characterized by severe. J Clin Ultrasound. Sep;35(7) Phlegmasia cerulea dolens. Bhatt S(1), Wehbe C, Dogra VS. Author information: (1)Department of Radiology.
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There was no loss of motor function. He was transferred to our institution and found to have threatened limbs, and a diagnosis of PCD was made.
During the one hour ambulance ride, he required seven liters of crystalloid fluid resuscitation due to the hypovolemic state from the poor venous return, secondary to large amounts of subcutaneous fluid sequestration.
He was promptly brought to the interventional radiology suite, placed in a prone flegmasia cerulea dolens, and infusion catheters were placed antegrade, from both popliteal veins.
Thrombolysis was initiated employing power pulse recombinant tissue plasminogen activator rTPA, 4 mg and subsequent slow rTPA infusion 0. The initial venogram demonstrated extensive thrombosis of the femoral and iliac venous flegmasia cerulea dolens Fig.
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A substantial amount of clot was removed from the veins. The patient was placed in bed rest with elevation of his lower extremities.
His international normalized ratio INR was 9. We started the patient on antibiotics and withheld the warfarin. Blood cultures grew Streptococcus pneumoniae.
Phlegmasia Cerulea Dolens
On the 2nd day of hospitalization, the patient's mental status deteriorated. Therefore, after normalization of the INR with fresh frozen plasma and vitamin K, a flegmasia cerulea dolens puncture was performed to rule out meningitis. The next step in the disease progression is occlusion of the superficial venous system, thereby preventing all venous flegmasia cerulea dolens from the extremity.
At this stage it is called phlegmasia cerulea dolens. The leg becomes more swollen and increasingly more painful.