Paget-Schroetter disease physical examination
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[2]
Overview
Common physical examination findings of Paget-Schroetter disease include edema, tenderness, and dilated veins over the involved upper limb.
Physical Examination
Appearance of the Patient
- Patients with Paget-Schroetter disease usually appear normal.
Vital Signs
- No significant changes in vital signs can be noted.
Skin
- Cyanosis
- blue discoloration
HEENT
- HEENT examination of patients with Paget-Schroetter disease is usually normal.
Neck
- Neck examination of patients with Paget-Schroetter disease is usually normal.
Lungs
- Pulmonary examination of patients with Paget-Schroetter disease is usually normal.
Heart
- Cardiovascular examination of patients with Paget-Schroetter disease is usually normal.
Abdomen
- Abdominal examination of patients with Paget-Schroetter disease is usually normal.
Back
- Back examination of patients with Paget-Schroetter disease is usually normal.
Genitourinary
- Genitourinary examination of patients with Paget-Schroetter disease is usually normal.
Neuromuscular
Neuromuscular examination of patients with Paget-Schroetter disease is usually normal.
Extremities
- Urschel’s sign : Visible and dilated veins on shoulder, upper extremity, base of neck and upper chest.[1]
- Tenderness
- Tense upper limb[2]
- Edema (increase in girth of affected arm compared to unaffected arm)[3]
- Positive Roos test[4]
- Palpation of thrombosed vein in the axilla.[5]
References
- ↑ Alla VM, Natarajan N, Kaushik M, Warrier R, Nair CK (2010). “Paget-schroetter syndrome: review of pathogenesis and treatment of effort thrombosis”. West J Emerg Med. 11 (4): 358–62. PMC 2967689. PMID 21079709.
- ↑ “StatPearls”. 2020. PMID 29494023.
- ↑ “StatPearls”. 2020. PMID 29494023.
- ↑ DeLisa, L. C.; Hensley, C. P.; Jackson, S. (2016). “Diagnosis of Paget-Schroetter Syndrome/Primary Effort Thrombosis in a Recreational Weight Lifter”. Physical Therapy. doi:10.2522/ptj.20150692. ISSN 0031-9023.
- ↑ Hangge, Patrick; Rotellini-Coltvet, Lisa; Deipolyi, Amy R.; Albadawi, Hassan; Oklu, Rahmi (2017). “Paget-Schroetter syndrome: treatment of venous thrombosis and outcomes”. Cardiovascular Diagnosis and Therapy. 7 (S3): S285–S290. doi:10.21037/cdt.2017.08.15. ISSN 2223-3652.
- ↑ “Differential diagnosis of a rare case of upper limb pain: Paget-Schroetter syndrome in a doner kebab chef”.
- ↑ “Paget Schrötter syndrome”.
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