LOWER EXTREMITY VENOUS COMPRESSION ULTRASOUND. CPT Stacey Good, DO Emergency Medicine Ultrasound Fellow Madigan Army Medical Center
|
|
|
- Eugene Foster
- 6 years ago
- Views:
Transcription
1 LOWER EXTREMITY VENOUS COMPRESSION ULTRASOUND CPT Stacey Good, DO Emergency Medicine Ultrasound Fellow Madigan Army Medical Center
2 Learning Objectives Setup and patient positioning for optimizing success Describe and recognize normal lower extremity vascular anatomy Determine the three locations to scan to rule out DVT in the ED Perform adequate compression to determine clot presence Determine whether a clot is old or new
3 Anatomy Deep Veins Superficial Veins Iliac Common Femoral (Superficial) Femoral Greater Saphenous Short Saphenous Perforating Veins Deep Femoral Popliteal Anterior Tibial Posterior Tibial Peroneal Veins
4 Deep Veins of Concern
5 Deep Veins of Concern CFV GSV Pop. V 1 3 cm 6-8 cm DFV Trifurcation (calf) SFV/FV ATV Peroneal V PTV
6 Sapheno-Femoral Junction CF A CF V GS V Right Leg Lateral Medial
7 Left Leg GSV + CFV Medial Lateral GS V CFV CFA Left Leg
8 Bifurcation: CFV SFV and DFV SF V SF A DF V Medial Lateral D FA Left Leg Left leg: 1 3 cm distal to GSV junction
9 Popliteal Fossa Orientation Skin PV PA
10 Popliteal Vein Orientation PV PA
11 The Setup US basics Right exam Right depth Right gain Right probe High frequency (10-5 MHz) *May need to use a curvilinear (lower frequency) probe in larger individuals for adequate depth assessment
12 The Setup Patient Positioning Semi-upright to upright Reverse trendelenberg to maximize vein size External hip rotation Partially flex knee Remove undergarments
13 Setup - Popliteal Imaging Options Supine or Sitting Knee bent Leg hanging over the side of bed Prone position Easiest for scanner Often hardest for patient
14 Technique Compression of 3 branch points starting in the inguinal ligament down to the trifurcation of the popliteal vein Greater Saphenous Vein Common Femoral Vein Common Femoral Vein bifurcation Deep Femoral Vein (DFV) Superficial Femoral Vein (SFV) * SFV aka femoral vein can be tracked to the distal 1/3 of the thigh where it disappears at the adductor hiatus. Popliteal Vein trifurcation Posterior tibial vein Anterior tibial vein Peroneal vein
15 Compression Ultrasound Optimal Image Scan in transverse plane Probe position perpendicular to skin Left Leg
16 Compression Ultrasound Apply enough pressure to completely collapse the vein Be able to still identify artery pulsating
17 Capturing and Saving Images Static: Dual screen image capture One side shows non-compressed view Second screen shows compression view Only method if there is no way to save clips Dynamic: Video clips Capture area of interest without and with compression Typically 6 second clips on most machines Best method for documentation & review Recommended if possible
18 Pitfalls & Anatomic Variants Lymph nodes Baker s cyst Duplicate veins
19 Lymph Nodes
20 Baker s Cyst
21 Duplicate Veins Duplicate femoral and popliteal veins occur in 20-30% of patients
22 A Few Cases
23 DVT: Popliteal Vein Noncompressible vein
24 DVT: Popliteal Vein
25 Common Femoral Vein Medial Lateral Noncompressible vein
26 DVT
27 DVT
28 Applicable to the ED Physician (Non) Availability of sonographers and radiologists Fast and reliable diagnostic tool Supported by ACEP and Medical Literature ACEP Policy Statement (page 50-55) specific attention directed towards key sections of the common femoral, femoral, deep femoral and popliteal veins. These sections constitute two short regions of the lower extremity, the inguinal region and popliteal fossa. Color flow and Doppler assessment may be used to localize the vessels, although the use of this technology is beyond the scope of the standard EUS exam. Additionally, data suggest color and power Doppler adds little in ruling out DVT.
29 Applicable to the ED Physician Systematic review of six studies Total of 132 DVTs in 936 patients Pooled sensitivity and specificity of 95% and 96%, respectively. More rapid disposition for patients undergoing bedside ED ultrasound compared with radiology department DVT assessment (95 vs. 225 minutes) Theodoro DL, Blaivas M, Duggal D, et al. Emergency physician-performed lower extremity doppler results in significant time savings. Acad Emerg Med. 2002
30 Summary Compress hard in short axis, maintaining transverse plane Focus on the simplified anatomy Beware of lymph nodes, baker s cysts, and duplicate veins ACEP policy 3 point compression (GSV-CFV, DFV-SFV, Pop-trifurcation) No augmentation and no duplex required
Introduction. Background Evidence System of examination Diagnoses & Variants Final actions Limitation of the examination
Rule in DVT Introduction Background Evidence System of examination Diagnoses & Variants Final actions Limitation of the examination BACKGROUND Common presentation Influence initial management NICE Guidelines
Bedside Ultrasound for DVT. Linear Probe. Leg Veins
Bedside Ultrasound for DVT J. Christian Fox, MD, RDMS, FAAEM, FAIUM Director of Emergency Ultrasound Fellowship University of California, Irvine Jchrsitianfox@gmail.com Linear Probe High frequency transducer
Bedside Ultrasound for Detection of Deep Vein Thrombosis: the Two-Point Compression Method
Bedside Ultrasound for Detection of Deep Vein Thrombosis: the Two-Point Compression Method Tom Ashar MD RDMS a, Krishnaraj Jayarama DO, Raymond Yun MD Department of Emergency Medicine, Newark Beth Israel
Bedside Emergency Ultrasound For Deep Venous Thrombosis
Bedside Emergency Ultrasound For Deep Venous Thrombosis Michael Blaivas, MD, MBA(candidate) FACEP, FAIUM Professor of Medicine University of South Carolina School of Medicine AIUM Third Vice President
BEDSIDE ULTRASOUND BEDSIDE ULTRASOUND. Deep Vein Thrombosis. Probe used
BEDSIDE ULTRASOUND Part 2 Diagnosis of deep vein thrombosis Kishore Kumar Pichamuthu, Professor, Department of Critical Care, CMC, Vellore Summary: Deep vein thrombosis (DVT) is a problem encountered in
Introduction to Clinical Ultrasound
Introduction to Clinical Ultrasound MAJ Jonathan Monti, DSc, PA-C, RDMS Director, US Army / Baylor EMPA Residency Program Madigan Army Medical Center 28th Annual Recertification Review Course and Spring
POINT OF CARE ULTRASOUND - Venous US for DVT
POINT OF CARE ULTRASOUND - Venous US for DVT The diagnosis of deep venous thrombosis (DVT) using ultrasound in the emergency department. DVT US is easy to perform and can be usually be completed in less
NCVH. Ultrasongraphy: State of the Art Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW
Ultrasongraphy: State of the Art 2015 NCVH New Cardiovascular Horizons Vein Forum 2015 A Multidisciplinary Approach to Otptimizing Venous Circulation From Wounds to WOW Anil K. Chagarlamudi, M.D. Cardiovascular
Ultrasound Guided Lower Extremity Blocks
Ultrasound Guided Lower Extremity Blocks CONTENTS: 1. Femoral Nerve Block 2. Popliteal Nerve Block Updated December 2017 1 1. Femoral Nerve Block Indications Surgery involving the knee, anterior thigh,
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus. Above Knee Deep Vein Thrombosis (DVT)
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Above Knee Deep Vein Thrombosis (DVT) Deep Vein Thrombosis (DVT) Purpose: Prerequisites: Training: Assessments: This unit is designed to cover
HUMAN BODY COURSE LOWER LIMB NERVES AND VESSELS
HUMAN BODY COURSE LOWER LIMB NERVES AND VESSELS October 22, 2010 D. LOWER LIMB MUSCLES 2. Lower limb compartments ANTERIOR THIGH COMPARTMENT General lfunction: Hip flexion, knee extension, other motions
Tools for the Clinician: The Essentials of Bedside (ED or ICU) Ultrasound for Deep Vein Thrombosis
Curr Emerg Hosp Med Rep (2013) 1:65 70 DOI 10.1007/s40138-013-0016-4 THROMBOSIS (D SLATTERY, SECTION EDITOR) Tools for the Clinician: The Essentials of Bedside (ED or ICU) Ultrasound for Deep Vein Thrombosis
Venous Reflux Duplex Exam
Venous Reflux Duplex Exam GWENDOLYN CARMEL, RVT PHYSIOLOGIST, DEPARTMENT OF VASCULAR SURGERY NEW JERSEY VETERANS HEALTHCARE CENTER EAST ORANGE, NJ PURPOSE: To identify patterns of incompetence and which
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus
Certificate in Clinician Performed Ultrasound (CCPU) Syllabus Proximal Deep Vein Thrombosis (DVT) Page 1 of 6 03/17 Deep Vein Thrombosis (DVT) Syllabus Purpose: This unit is designed to cover the theoretical
Lower Extremity Venous Insufficiency Evaluation
VASCULAR TECHNOLOGY PROFESSIONAL PERFORMANCE GUIDELINES Lower Extremity Venous Insufficiency Evaluation This Protocol was prepared by members of the Society for Vascular Ultrasound (SVU) as a template
Protocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing?
Protocols for the evaluation of lower extremity venous reflux: supine, sitting, or standing? Susan Whitelaw RVT, RDMS PURPOSE Duplex imaging of the lower extremity veins is performed to assess the deep
Anatomy. Patterns of reflux. Technique. Testing Reflux time Patient position. Difficult! Learning. NOT system optimisation. Clinical Assesment
Anatomy Patterns of reflux Awareness Technique Testing Reflux time Patient position Difficult! Learning NOT system optimisation Enlarged Clinical Assesment Twisted Where are the symptoms? Why they are
Mohammad Ashraf. Abdulrahman Al-Hanbali. Ahmad Salman. 1 P a g e
- 7 Mohammad Ashraf Abdulrahman Al-Hanbali Ahmad Salman 1 P a g e Structures under the cover of Gluteus Maximus: 1-Bones: Ileum, Femur (Head, greater trochanter and gluteal tuberosity), Ischium (ischial
Segmental GSV reflux
Segmental GSV reflux History of presentation A 43 year old female presented with right lower extremity varicose veins and swelling. She had symptoms of aching, heaviness and tiredness in the right leg.
The role of ultrasound duplex in endovenous procedures
The role of ultrasound duplex in endovenous procedures Neophytos A. Zambas MD, PhD Vascular Surgeon Polyclinic Ygia, Limassol, Cyprus ΚΕΑΕΧ ΚΥΠΡΙΑΚΗ ΕΤΑΙΡΕΙΑ ΑΓΓΕΙΑΚΗΣ ΚΑΙ ΕΝΔΑΓΓΕΙΑΚΗΣ ΧΕΙΡΟΥΡΓΙΚΗΣ Pre
Guidelines, Policies and Statements D20 Statement on Peripheral Venous Ultrasound
Guidelines, Policies and Statements D20 Statement on Peripheral Venous Ultrasound Disclaimer and Copyright The ASUM Standards of Practice Board have made every effort to ensure that this Guideline/Policy/Statement
Step by step ultrasound examination of varicose veins. Dr. Özgün Sensebat Vascular Surgeon Private Vascular Clinic Dorsten & Borken, Germany
Step by step ultrasound examination of varicose Dr. Özgün Sensebat Vascular Surgeon Private Vascular Clinic Dorsten & Borken, Germany Required technical setup: B-mode vessel imaging combined with color
Venous drainage of the lower limb
Venous drainage of the lower limb INTRODUCTION It is of immense clinical and surgical importance. The venous blood against gravity. FACTORS HELPING THE VENOUS DRAINAGE OF THE LOWER LIMB The contraction
Lecture 09. Popliteal Fossa. BY Dr Farooq Khan Aurakzai
Lecture 09 Popliteal Fossa BY Dr Farooq Khan Aurakzai Dated: 14.02.2018 What is popliteus? Introduction Anything relating to, or near the part of the leg behind the knee. From New Latin popliteus the muscle
Background & Indications Probe Selection
Teresa S. Wu, MD, FACEP Director, EM Ultrasound Program & Fellowship Co-Director, Simulation Based Training Program & Fellowship Associate Program Director, EM Residency Program Maricopa Medical Center
Let s Take a Look Venous Insufficiency Ultrasound Techniques
Let s Take a Look Venous Insufficiency Ultrasound Techniques Brent Wilkinson RVT, RDMS Steve Schomaker RVT, RDCS, RDMS Let s take a look Differentiate between normal venous flow and venous insufficiency
Point-of-Care Ultrasound Guide for Landmarks, Recording, and Report Content. TJUH/MHD EM Ultrasound Division 2012
Point-of-Care Ultrasound Guide for Landmarks, Recording, and Report Content TJUH/MHD EM Ultrasound Division 2012 Table of Contents 1 - Objectives 2 - Procedural 3 - AAA 4 - Abdominal OB 5 - Transvaginal
Fig MHz cm/s. Table 1 Fig. 2. Fig. 3, 4. Fig. 5
GE Fig. 1 3. 5 MHz 7 10 MHz 3. 5 5. 0 MHz B 10 20 cm/s Table 1 Fig. 2 Fig. 1 1 2 3 3 3 : 1 2 3 Fig. 3, 4 Fig. 5 Table 1 a b c Fig. 2 a B b B c Fig. 6 Table 1 Fig. 7 a b c Fig. 3 a AV b A VV c 1 cm 2 1
Gross Anatomy Coloring Book Series. Lower Extremity Arteries
Gross Anatomy Coloring Book Series Lower Extremity Arteries 1 Femoral Artery and Associated Branches For the life of the flesh is in the blood. Leviticus 17:11 Femoral Artery and Associated Branches After
Carotid Doppler: Doppler wave forms obtained from the common, external and internal carotid arteries. As well as the vertebral and subclavian
Competency Carotid Doppler: Doppler wave forms obtained from the common, external and internal carotid arteries. As well as the vertebral and subclavian arteries. Preferred angle is 60 degrees or less.
1-Muscles: 2-Blood supply: Branches of the profunda femoris artery. 3-Nerve supply: Sciatic nerve
1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t r i n g p a r t o r i s c h i a l p a r t ) 2-Blood supply:
USRA OF THE LOWER EXTREMITY
USRA OF THE LOWER EXTREMITY Christian R. Falyar, CRNA, DNAP Department of Nurse Anesthesia Virginia Commonwealth University Disclosure Statement of Financial Interest I, Christian Falyar, DO NOT have a
inerve Guide to Nerves 2009
inerve Guide to Nerves 2009 A guide to self learning and self assessment Context: The following guide is intended to help interpret the sono-anatomy and follow a systematic stepwise approach to the practice
The thigh. Prof. Oluwadiya KS
The thigh Prof. Oluwadiya KS www.oluwadiya.com The Thigh: Boundaries The thigh is the region of the lower limb that is approximately between the hip and knee joints Anteriorly, it is separated from the
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
Original Research Article Role of Colour Flow Duplex Sonography in Evaluation of Chronic Venous Insufficiency in Lower Limbs
Original Research Article in Evaluation of Chronic Venous Insufficiency in Lower Limbs Mohammed Abdul Azhar 1 1 Assistant Professor, Department of Radiology, Shadan Institute of Medical Sciences, Hyderabad,
Surface Anatomy and Sonoanatomy for the Occasional Regional Anesthesiologist
Surface Anatomy and Sonoanatomy for the Occasional Regional Anesthesiologist Edward R. Mariano, M.D., M.A.S. Professor of Anesthesiology, Perioperative & Pain Medicine Stanford University School of Medicine
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 1, 2 and 3 are From the lumber plexus 5- Intermediate cutaneous
Lower Extremity Arterial Doppler
Lower Extremity Arterial Doppler 1. Spectral Doppler waveform should be taken in distal aorta and common iliac arteries. 2. R/L common femoral artery (CFA) color Doppler with velocity and B-mode. 3. R/L
Chronic Venous Insufficiency
Chronic Venous Insufficiency None Disclosures Lesley Enfinger, MSN,NP-C Chronic Venous Insufficiency Over 24 Million Americans affected by Chronic Venous Insufficiency (CVI) 10 x More Americans suffer
Lower Extremity Ultrasound-Guided Regional Anesthesia. Stephanie Duffy, CRNA Regional Anesthesia Faculty Acute Pain Service NMCSD
Lower Extremity Ultrasound-Guided Regional Anesthesia Stephanie Duffy, CRNA Regional Anesthesia Faculty Acute Pain Service NMCSD Objectives Review anatomy of lumbosacral plexus Lumbar plexus blocks Psoas
Clinical/Duplex Evaluation of Varicose Veins: Who to Treat?
Clinical/Duplex Evaluation of Varicose Veins: Who to Treat? Sanjoy Kundu MD, FASA, FCIRSE, FSIR The Vein Institute of Toronto Scarborough Vascular Group Scarborough Vascular Ultrasound Scarborough Vascular
Femoral Artery. Its entrance to the thigh Position Midway between ASIS and pubic symphysis
Lower Limb Vessels Lecture Objectives Describe the major arteries of the lower limb. Describe the deep and superficial veins of the lower limb. Describe the topographical relationships of the arteries
Linda Antonucci, RPhS, RVT, RDCS
Linda Antonucci, RPhS, RVT, RDCS DISCLOSURE Linda Antonucci, RPhS, RVT, RDCS I have no financial relationships to disclose relevant to this talk. SIMILARITIESBETWEEN ARTERIES AND VEINS Composed of three
Leg. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Leg Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Skin of the Leg Cutaneous Nerves Medially: The saphenous nerve, a branch of the femoral nerve supplies the skin on the medial surface
ANATYOMY OF The thigh
ANATYOMY OF The thigh 1- Lateral cutaneous nerve of the thigh Ι) Skin of the thigh Anterior view 2- Femoral branch of the genitofemoral nerve 5- Intermediate cutaneous nerve of the thigh 1, 2 and 3 are
ED Diagnosis of DVT or tools to rule out DVT in your ED
ED Diagnosis of DVT or tools to rule out DVT in your ED Ralph Wang UCSF Department of Emergency Medicine 53 yo f c/o left leg swelling recent cholecystectomy its midnight how do you manage this patient?
Peripheral Vascular Examination. Dr. Gary Mumaugh Western Physical Assessment
Peripheral Vascular Examination Dr. Gary Mumaugh Western Physical Assessment Competencies 1. Inspection of upper extremity for: size symmetry swelling venous pattern color Texture nail beds Competencies
Rare Vascular Anomalies in the Femoral Triangle During Varicose Vein Surgery
Korean J Thorac Cardiovasc Surg 2017;50:99-104 ISSN: 2233-601X (Print) ISSN: 2093-6516 (Online) CLINICAL RESEARCH https://doi.org/10.5090/kjtcs.2017.50.2.99 Rare Vascular Anomalies in the Femoral Triangle
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT. Dr Farooq Khan Aurakzai. Dated:
Lecture 08 THIGH MUSCLES ANTERIOR COMPARTMENT BY Dr Farooq Khan Aurakzai Dated: 11.02.2017 INTRODUCTION to the thigh Muscles. The musculature of the thigh can be split into three sections by intermuscular
Contents of the Posterior Fascial Compartment of the Thigh
Contents of the Posterior Fascial Compartment of the Thigh 1-Muscles: B i c e p s f e m o r i s S e m i t e n d i n o s u s S e m i m e m b r a n o s u s a small part of the adductor magnus (h a m s t
Recurrent Varicose Veins We All See Them
We All See Them November 4, 2017 Austin, TX Arlington Heights, IL No conflicts Terminology REVAS REcurrent Varices After Surgery PREVAIT PREsence of Varices After Interventional Treatment Recurrent varices
Quillen College of Medicine
Ea s t T e n n e s s e e St a t e Un i v e r s i t y Quillen College of Medicine Failing to prepare is preparing to fail. John Wooden, UCL A Dr. Tom Kwasigroch Associate Dean Director, Medical Human Gross
Where should you palpate the pulse of different arteries in the lower limb?
Where should you palpate the pulse of different arteries in the lower limb? The femoral artery In the femoral triangle, its pulse is easily felt just inferior to the inguinal ligament midway between the
Determine the patients relative risk of thrombosis. Be confident that you have had a meaningful discussion with the patient.
Patient Assessment :Venous History, Examination and Introduction to Doppler and PPG Dr Louis Loizou The 11 th Annual Scientific Meeting and Workshops of the Australasian College of Phlebology Tuesday 18
Lower Limb Venous Ultrasound. Colin P. Griffin MSc, BSc (Hons)
Lower Limb Venous Ultrasound Colin P. Griffin MSc, BSc (Hons) Peripheral Vessels Lower Limb Peripheral Vessels Lower Limb Venous Deep System Common Iliac External/Internal Iliac Common Femoral Femoral
Occult deep venous thrombosis complicating superficial thrombophlebitis
Occult deep venous thrombosis complicating superficial thrombophlebitis Robert M. Blumenberg, MD, Elizabeth Barton, BSN, RVT, Michael L. Gelfand, MD, Paul Skudder, MD, and J. Brennan, Schenectady and Albany,
The femoral artery and its branches in the baboon Papio anubis
O R I G I N A L A R T I C L E Folia Morphol. Vol. 66, No. 4, pp. 291 295 Copyright 2007 Via Medica ISSN 0015 5659 www.fm.viamedica.pl The femoral artery and its branches in the baboon Papio anubis Dyl
Adductor canal (Subsartorial) or Hunter s canal
Adductor canal (Subsartorial) or Hunter s canal John Hunter described the exposure and ligation of the femoral artery in this canal for aneurysm of the popliteal artery; this method has the advantage that
L o o k L i s t e n F e e l S c a n. Your Pocus Cards For Your Every Day Scanning.
L o o k L i s t e n F e e l S c a n Your Pocus Cards For Your Every Day Scanning E-FAST Extended Focused Assessment by Sonography in Trauma Subcostal Heart View Pleural Sliding on M-mode (Sea-shore sign)
Guide to Small Animal Vascular Imaging using the Vevo 770 Micro-Ultrasound System
Guide to Small Animal Vascular Imaging using the Vevo 770 Micro-Ultrasound System January 2007 Objectives: After completion of this module, the participant will be able to accomplish the following: Understand
Value of Doppler Ultrasound in Diagnosis of Clinically Suspected Deep vein Thrombosis
International Journal Dental and Medical Sciences Research (IJDMSR) ISSN: 2393-073X Volume 2, Issue 1 (Jan- 2018), PP 01-06 Value of Doppler Ultrasound in Diagnosis of Clinically Suspected Deep vein Thrombosis
SAMPLE EDITION PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION. Cardiovascular Illustrations and Guidelines
Cardiovascular Illustrations and Guidelines PELVIC AND LOWER EXTREMITY ARTERIES WITH ENDOVASCULAR REVASCULARIZATION ANGIOPLASTY INTRAVASCULAR STENT PLACEMENT ATHERECTOMY For Fem-Pop Territory Angioplasty
VENOUS DRAINAGE OF THE LOWER LIMB
Anatomy of the lower limb Superficial veins & nerve injuries Dr. Hayder VENOUS DRAINAGE OF THE LOWER LIMB The venous drainage of the lower limb is of huge clinical & surgical importance. Since the venous
rotation of the hip Flexion of the knee Iliac fossa of iliac Lesser trochanter Femoral nerve Flexion of the thigh at the hip shaft of tibia
Anatomy of the lower limb Anterior & medial compartments of the thigh Dr. Hayder The fascia lata encloses the entire thigh like a sleeve/stocking. Three intramuscular fascial septa (lateral, medial, and
musculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer
musculoskeletal system anatomy nerves of the lower limb 1 done by: dina sawadha & mohammad abukabeer What is the importance of plexuses? plexuses provides us the advantage of a phenomenon called convergence
For exam: VL DUPLEX EXTREMITY VEINS UNILAT LT
For exam: VL DUPLEX EXTREMITY VEINS UNILAT LT - 8870390 METHOD/TECHNIQUE: The veins of the left upper extremity were studied at multiple For exam: VL DUPLEX EXTREMITY VEINS UNILAT RT - 8870400 METHOD/TECHNIQUE:
Femoral Triangle and Adductor Canal. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Femoral Triangle and Adductor Canal Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Femoral Triangle and Adductor Canal Femoral triangle Is a triangular depressed area located in the upper
Anterior and Medial compartments of the thigh. Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology
Anterior and Medial compartments of the thigh Dr. Heba Kalbouneh Associate Professor of Anatomy and Histology Terms Related to Movements Movement Flexion Extension Abduction Adduction Medial (internal)
Regional Anaesthesia
Regional Anaesthesia Lower limb anatomy and blocks Hip and Knee Joint Hip Joint: Nerve supply Lumbar plexus Femoral nerve through the nerve to the Rectus Femoris Ant division of the Obturator nerve The
Schedule of Benefits. for Professional Fees Vascular Procedures
Schedule of Benefits for Professional Fees 2018 Vascular Procedures ANASTOMOSIS RULES 820 Arteriovenous anastomosis in arm 1453 Arteriovenous anastomosis, open by basilic vein transposition 1465 Splenorenal
Ultrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches
10.5005/jp-journals-10027-1026 K Kondov, S Fransis REVIEW ARTICLE Ultrasound-guided Sciatic Nerve Blocks: Higher and Popliteal Approaches K Kondov, S Fransis ABSTRACT Background and objective: In modern
MUSCULOSKELETAL LOWER LIMB
MUSCULOSKELETAL LOWER LIMB Spinal Cord Lumbar and Sacral Regions Spinal cord Dorsal root ganglion Conus medullaris Cauda equina Dorsal root ganglion of the fifth lumbar nerve End of subarachnoid space
2017 Cardiology Survival Guide
2017 Cardiology Survival Guide Chapter 2: Angioplasty/Atherectomy/Stent The term angioplasty literally means "blood vessel repair." During an angioplasty procedure, the physician inserts a catheter, with
Carotid Abnormalities Coils, Kinks and Tortuosity David Lorelli M.D., RVT, FACS Michigan Vascular Association Conference Saturday, October 20, 2012
Carotid Abnormalities Coils, Kinks and Tortuosity David Lorelli M.D., RVT, FACS Michigan Vascular Association Conference Saturday, October 20, 2012 Page 1 Table of Contents Carotid Anatomy Carotid Duplex
BOGOMOLETS NATIONAL MEDICAL UNIVERSITY. Department of Human Anatomy GUIDELINES. The theme of the lesson The vessels of the lower limb.
BOGOMOLETS NATIONAL MEDICAL UNIVERSITY Department of Human Anatomy GUIDELINES Academic discipline HUMAN ANATOMY Module 2 The theme of the lesson The vessels of the lower limb. Course Faculties І Medical
DISSECTION SCHEDULE. Session I - Hip (Front) & Thigh (Superficial)
DISSECTION SCHEDULE Session I - Hip (Front) & Thigh (Superficial) Surface anatomy Inguinal region Gluteal region Thigh Leg Foot bones Hip bone Femur Superficial fascia Great saphenous vein Superficial
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS
Arterial Access for Diagnosis and Intervention T-Woei Tan, MD, FACS Assistant Professor of Surgery Vascular Endovascular Surgery Louisiana State University Health - Shreveport Disclosures None Objective
Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles.
L 8 A B O R A T O R Y Thigh MEDIAL THIGH Identify the muscles associated with the medial compartment of the thigh. Identify the attachment points of the medial thigh muscles. Identify the actions of these
What is Kinesiology? Basic Biomechanics. Mechanics
What is Kinesiology? The study of movement, but this definition is too broad Brings together anatomy, physiology, physics, geometry and relates them to human movement Lippert pg 3 Basic Biomechanics the
Isolated Deep Venous Thrombosis: Implications for 2-Point Compression Ultrasonography of the Lower Extremity
IMAGING/ORIGINAL RESEARCH Isolated Deep Venous Thrombosis: Implications for 2-Point Compression Ultrasonography of the Lower Extremity Srikar Adhikari, MD, MS*; Wes Zeger, DO; Christopher Thom, MD; J.
lower limb Anterior Compartment: lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments:
lower limb lecture 3 The deep fascia ( fascia lata) divides the thigh into 3 compartments: 1. Anterior Extensor compartment 2. Medial Adductor compartment 3. Posterior Flexor compartment Anterior Compartment:
Abdominal Ultrasound
Abdominal Ultrasound Imaging Control Buttons Depth The organ imaged should take up 3/4 of the screen Frequency = Penetration Use high frequencies (harmonics) for fluid filled and superficial structures
Progression of superficial venous thrombosis to deep vein thrombosis
Progression of superficial venous thrombosis to deep vein thrombosis David L. Chengelis, MD, Phillip J. Bendick, PhD, John L. Glover, MD, O. William Brown, MD, and Timothy J. Ranval, MD, Royal Oak, Mich.
Neck Ultrasound. Faculty Info: Amy Kule, MD
Neck Ultrasound Date: Friday, October 19, 2018 Time: 11:00 AM Location: SMALL GROUP LABORATORY SSOM L71 Watch: Ø Neck Ultrasound Scanning Protocol (4:00): https://www.youtube.com/watch?v=zozd2x2ll4q Faculty
9/26/2012. Basic Terminology. Basic Terminology continued. Kinesiology Terminology. Kinesiology = The study of movement
Kinesiology Terminology Basic Terminology Kinesiology = The study of movement This definition is so broad. What other fields of study come together to create kinesiology? Yes!! And it relates them all
Baraa Ayed حسام أبو عوض. Ahmad Salman. 1 P a g e
4 Baraa Ayed حسام أبو عوض Ahmad Salman 1 P a g e Today we are going to cover these concepts: Iliotibial tract Anterior compartment of the thigh and the hip Medial compartment of the thigh Femoral triangle
RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY
RECOGNITION AND ENDOVASCULAR TREATMENT OF CHRONIC VENOUS INSUFFICIENCY Paul Kramer, MD, FACC, FSCAI Liberty Cardiovascular Specialists Liberty Regional Heart and Vascular Center DISCLOSURES NONE Venous
Sign up to receive ATOTW weekly -
ULTRASOUND GUIDED ADDUCTOR CANAL BLOCK (SAPHENOUS NERVE BLOCK) ANAESTHESIA TUTORIAL OF THE WEEK 301 13 TH JANUARY 2014 Dr Daniel Quemby, Specialist Trainee Anaesthesia Dr Andrew McEwen, Consultant Anaesthetist
Misc Anatomy. Upper Limb! 2. Lower Limb! 5. Venous Drainage! Head & neck! 8
Misc Anatomy Upper Limb! 2 Arteries!... 2 Veins!... 2 Spaces!... 4 Lower Limb! 5 Arteries!... 5 Venous Drainage!... 6 Spaces!... 7 Head & neck! 8 Artery!... 8 Ultrasound View for IJ CVL!... 8 Arteries
Vascular Ultrasound: Current state, current needs, future directions
Vascular Ultrasound: Current state, current needs, future directions Laurence Needleman, MD Thomas Jefferson University Hospitals Sidney Kimmel Medical College of Thomas Jefferson University Disclosures
Clinico-Anatomical and Radiological Correlation of Varicose Veins of Lower Limb A Cross-sectional Study
ORIGINAL RESEARCH www.ijcmr.com Clinico-Anatomical and Radiological Correlation of Varicose Veins of Lower Limb A Cross-sectional Study Lalatendu Swain 1, Mamata Singh 2, Prabhat Nalini Rautray 3 ABSTRACT
Ali Yaghi. Omar Eyad. Ahmad Salman. 1 P a g e
5 Ali Yaghi Omar Eyad Ahmad Salman 1 P a g e **There are two types of groin hernia; the femoral hernia and the inguinal hernia. But how can we differentiate between the inguinal hernia and the femoral
Lab no 1 Structural organization of the human body
Physiology Lab Manual Page 1 of 6 Lab no 1 Structural organization of the human body Physiology is the science which deals with functions of the body parts, and how they work. Since function cannot be
THE INS AND OUTS OF HERNIAS WHERE TO START? WHAT IS A HERNIA? CLINICAL INDICATIONS THE INGUINAL CANAL THE CLINICAL QUESTION 18/09/2018
THE INS AND OUTS OF HERNIAS Cassandra Harrison BA/BSc, MMRU, AMS WHERE TO START? The Clinical Question Essential anatomy Inguinal hernia Scanning technique Variations WHAT IS A HERNIA? CLINICAL INDICATIONS
Deep Vein Thrombosis: Can a Second Sonographic Examination Be Avoided?
Alfonsa Friera 1 Nuria R. Giménez 2 Paloma Caballero 1 Pilar S. Moliní 2 Carmen Suárez 2 Received August 15, 2001; accepted after revision October 16, 2001. 1 Radiology Department, Hospital de la Princesa,
Index. Note: Page numbers of article titles are in boldface type.
Note: Page numbers of article titles are in boldface type. A Abscess(es) localization of for incision and drainage ultrasound-guided, 288 290 musculoskeletal sonographic appearance of, 256 periorbital
Ultrasound Use in Anaesthesia
Trainee Name: 1 Ultrasound Use in Anaesthesia Assessments to accompany Workbook for anaesthetic trainees in North Queensland 2010 Authors: Mark Fairley, Emile Kurukchi, Andrew Potter 2 Trainee Name: Ultrasound
Vascular Sonography Examination
Vascular Sonography Examination The purpose of The American Registry of Radiologic Technologists (ARRT ) Vascular Sonography Examination is to assess the knowledge and cognitive skills underlying the intelligent
Exposure of the anterior tibial artery by medial popliteal extension
Exposure of the anterior tibial artery by medial popliteal extension J. G. Sladen, FRCS(C), G. Kougeer, FRCS(C), and J. D. S. Reid, FRCS(C), Vancouver) British Columbia) Canada This report describes exploration