Man With Bilateral Leg Swelling

A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous struc...

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Detalles Bibliográficos
Autores principales: Toy, Jake, Garrett, Alexander, Liu, Yiju Teresa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2019
Materias:
Images in Emergency Medicine
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861031/
https://www.ncbi.nlm.nih.gov/pubmed/31763617
http://dx.doi.org/10.5811/cpcem.2019.9.43698
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author Toy, Jake
Garrett, Alexander
Liu, Yiju Teresa
author_facet Toy, Jake
Garrett, Alexander
Liu, Yiju Teresa
author_sort Toy, Jake
collection PubMed
description A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous structure in the inferior vena cava that was determined to represent a tumor thrombus extending from a primary renal cell carcinoma. This case demonstrates how POCUS was valuable in rapidly diagnosing this rare cause of lower extremity edema and its usefulness in directing the initial ED management of this patient.
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spelling pubmed-68610312019-11-22 Man With Bilateral Leg Swelling Toy, Jake Garrett, Alexander Liu, Yiju Teresa Clin Pract Cases Emerg Med Images in Emergency Medicine A 52-year-old man without known medical history presented with painful, progressive, bilateral lower extremity edema over a two-week period. An abdominal exam noted a firm left upper quadrant mass. Emergency department (ED) point-of-care ultrasound (POCUS) revealed a hyperechoic, heterogeneous structure in the inferior vena cava that was determined to represent a tumor thrombus extending from a primary renal cell carcinoma. This case demonstrates how POCUS was valuable in rapidly diagnosing this rare cause of lower extremity edema and its usefulness in directing the initial ED management of this patient. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2019-10-14 /pmc/articles/PMC6861031/ /pubmed/31763617 http://dx.doi.org/10.5811/cpcem.2019.9.43698 Text en Copyright: © 2019 Toy et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Images in Emergency Medicine
Toy, Jake
Garrett, Alexander
Liu, Yiju Teresa
Man With Bilateral Leg Swelling
title Man With Bilateral Leg Swelling
title_full Man With Bilateral Leg Swelling
title_fullStr Man With Bilateral Leg Swelling
title_full_unstemmed Man With Bilateral Leg Swelling
title_short Man With Bilateral Leg Swelling
title_sort man with bilateral leg swelling
topic Images in Emergency Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6861031/
https://www.ncbi.nlm.nih.gov/pubmed/31763617
http://dx.doi.org/10.5811/cpcem.2019.9.43698
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