Lower Leg swelling

48 y/o female presents with 2 days of left groin pain and left LEswelling.

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48 y/o female presents with 2 days of left groin pain and left LE swelling.  No h/o travel, recent trauma, fever, or cancer.

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Quiz

If standard convention is kept, what leg is being imaged in this study?

Left

What is the anatomy and pathology being imaged in this clip?

Saphenous and Common Femoral v. DVT

It is important to image and compress at the level of the saphenous vein as it enters the common femoral vein because there is a high incidence of propagation to DVT. Describe the “two point” method for a DVT study.

Upper leg Proximal to where the saphenous v. enters the common femoralv. At the level of where the saphenous v. enters the commonfemoral v. Distal to the level of where where the saphenous v. enters thecommon femoral v., until bifurcates into deep and superficialfemoral v. Popliteal region Popliteal v. within the popliteal fossa Distal until you visualize the popliteal v. trifurcate