Ultrasound Tutorial: DVT / Lower Limb Veins | Radiology Nation
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- Опубликовано: 22 янв 2018
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Demonstrating calf vein thrombosis has always been the biggest challenge for me, especially if the patient has leg edema or is somewhat obese. Seeing this video and finding out that other people search for the calf veins in sitting patient really give me hope of performing a better job. Good job.
Amazing Video Tutorial. Thanks.
THANK YOU...SIMPLE AND PRECISE
The best video for education. Thanks.
Such a helpful video! Thank you :)
Great video, thank you!
its really classic,easy to understand .plz make clip to know SFJ and SPJ insufficiency
Excellent teaching
Amazing! Thank you so much! I hope you keep on posting more educational videos! :)
Thanks a lot! We have some more coming! In the meantime we have a few other videos on our channel for people to watch.
You create Great content👌👌👌please create more.from Iran
Excellent work 👍
Thank you for this information
FABULOUS video!
Amazing...plz we want examinations of presence of reflux in testicular doppler ultrasound...appreciate ur help..
Excellent explanation!
Great tutorial, thank you from Cambodia!
I like that we have people watching from all over the world!
Nice Video clip! Forgive me for butting in, I would appreciate your opinion. Have you tried - Carnbigail Reputable Cure (do a google search)? It is a smashing one off guide for eradicating your varicose or spider veins without the headache. Ive heard some unbelievable things about it and my cousin after many years got astronomical success with it.
Great explanation. Thank you!
Thank you for clear, concised speech and demonstrating the US images..Quite informative.
Thanks for the Video clip! Sorry for butting in, I am interested in your thoughts. Have you heard about - Carnbigail Reputable Cure (search on google)? It is a good one off product for eradicating your varicose or spider veins without the headache. Ive heard some interesting things about it and my cousin finally got cool success with it.
Great Video clip! Apologies for the intrusion, I would love your initial thoughts. Have you heard about - Tarbbatigan Endowment Capacity Tip (probably on Google)? It is an awesome one off product for making money with forex using this simple candle sticks trick minus the headache. Ive heard some amazing things about it and my old buddy Taylor finally got astronomical results with it.
@Radiology Nation Excellent Video! Excuse me for butting in, I would love your thoughts. Have you heard about - Carnbigail Reputable Cure (erm, check it on google should be there)? It is a great one of a kind guide for eradicating your varicose or spider veins minus the hard work. Ive heard some incredible things about it and my work colleague got amazing results with it.
very good video
Thank you very much .
Where are you???? We need you come back
Thank you!
I will receive this procedure tomorrow, and I am fascinated. Thank you so much. I wish to alert you to the faint audio which can be fixed by a voice-over re-dub.
Respectfully, NHG
Thank you very Much from Brasil.
I like that we have people watching from all over the world!
Great Video clip! Forgive me for the intrusion, I would appreciate your opinion. Have you ever tried - Carnbigail Reputable Cure (Have a quick look on google can't remember the place now)? It is a smashing exclusive guide for eradicating your varicose or spider veins minus the normal expense. Ive heard some incredible things about it and my work colleague finally got amazing results with it.
Amazing
Gracias por hacer este contenido, me es de mucha utilidad, sigan haciendo más contenido como este.
Thanks for the Video! Sorry for chiming in, I am interested in your opinion. Have you considered - Carnbigail Reputable Cure (Have a quick look on google can't remember the place now)? It is a good one off guide for eradicating your varicose or spider veins without the headache. Ive heard some unbelievable things about it and my old buddy Taylor after many years got great success with it.
Cheers for the Video clip! Sorry for the intrusion, I would appreciate your opinion. Have you heard about - Carnbigail Reputable Cure (Sure I saw it on Google)? It is a smashing exclusive product for eradicating your varicose or spider veins minus the headache. Ive heard some decent things about it and my cousin after a lifetime of fighting got astronomical results with it.
Why did you stop doing videos ?? Keep doing ! They videos you are doing is useful. Thank you
One video is coming soon!
Thanks for the Video! Sorry for butting in, I would love your opinion. Have you thought about - Carnbigail Reputable Cure (do a google search)? It is an awesome exclusive guide for eradicating your varicose or spider veins without the headache. Ive heard some awesome things about it and my good mate called Gray at very last got astronomical results with it.
Thank you
Thank u sir
My foot got busted up so I got to go in for one of the scan.
Great content! Thank you! Please create more!
No
We will do when we have time!
Great Video! Apologies for the intrusion, I would love your initial thoughts. Have you considered - Carnbigail Reputable Cure (erm, check it on google should be there)? It is a good one off product for eradicating your varicose or spider veins without the hard work. Ive heard some decent things about it and my good mate called Gray after many years got excellent results with it.
bravo
Please upload video of level 2 ultraaound of fetus!
Highly demanded!
Please!
Thank u Sir..😊 please make more and more Video..from India
One video is coming soon...!
I’m getting one of these tomorrow 0.0
Cheers for the Video! Excuse me for chiming in, I am interested in your initial thoughts. Have you heard the talk about - Carnbigail Reputable Cure (do a google search)? It is a great exclusive product for eradicating your varicose or spider veins without the headache. Ive heard some awesome things about it and my cousin got astronomical success with it.
@@lauraelena5570 oh wow sounds neat!
I've been scheduled for a venous insufficiency ultrasound of my legs, I have blockages in 4 of the 6 arteries in both legs, also have issues with the veins bringing blood back up my legs... scares me on what might happen to me, esp when I have a almost 19 hour flight coming up sep of next year, that's just 1 way, and almost a 19 hour flight coming back home....anxiety is so bad, that if they need to roto rooter my legs, they are going to have to put me out as I can't keep my feet still long enough for them to do anything, I have a feeling I'm up poop creek without a paddle
How are you doing now. I hope you are doing perfectly ok.
How are doing now
Please can someone tell me which has to be scanned first? Normal leg or abnormal leg?
Need upper limbs and lower limb vessels mapping
Is this painful? Can anyone please confirm also what is the treatment of Vericos vein
I have high suspicion of calf blood clot but did twice ultrasound they always do thigh and foot but never scan the calf so for sure it seems OK for them.....
Excuse me ..doctor examined this to my leg...but he told me that i have no any vericose vein..but when i run or jump i see a vein behind my knee..help plz what is that
इस चैकअप का चार्जेज कितना है।
My sonographer did my test in the reverse trendelenburg position, I feel like it was a waste of time not doing it standing up.
A good vascular sonographer can elicit your venous insufficiency with you in a supine position. Standing is not necessary. Hopefully you took a deep breath, held it, and tightened your belly like you were pushing out gas. This will unmask common femoral vein reflux and sapheno-femoral junction reflux which is where almost all insurance companies require the patient have valve reflux in order to pay for the procedure to fix your leg. For the rest of the superficial veins, the technologist can augment the skin with their hands, pushing blood up and down the leg to look at reflux times. This part takes skill and time that most young tech's in busy departments don't adequately perform. Most hospitals don't even look for venous valve insufficiency, most just rule out deep and superficial vein thrombus. Venous closure procedures are office based now and strippings don't occur as often and hospitals are disenfranchised to look.
Treatment how
I pray to GOD someone can help me to read this left leg ultrasound
I dnt know how to send the ultrasound
hi! ive been told that there is no need to angle correct the cursor parallel when it comes to VENOUS doppler exams, but i still from time to time see techs angle correcting -as demonstrated by you. would you mind clarifying this for me?
This is true because when we check the veins we generally aren't concerned with velocities, so no need to do angles. With arteries we need that 60 degrees or less to make sure our velocities are accurate.
I have a question. My ultrasound tech grabbed (almost like a pinch but with her whole hand that encompassed a massive amount of leg) under my knee from the outside (it was super painful) and pulled toward the inside. She said it was to record flow. She did the same under my knee. If there was a DVT, would this not release it?
Yes, but that was needed to compress the vein or to push flow through the vein to show patency. If there was a clot then the technician would stop compressions after proving the exisistence of clot.
Yes, it is possible to have normal D-Dimer levels if the clot in a vein is small or is old.
As you r whispering!!!
What happened to our video
Now show us on a real patient who arrives with extensive calf oedema 😂
The volume is too low
ab wo dawai kha raha hai lakin uski tang small hua hai
It hurts idk if it’s just me
Harniya test
This study is unfortunately not done with the patient in the standing position. All venous ultrasound studies for reflux evaluation MUST be done with the patient in a standing position. No exception. The guidelines are well published. Please do not undergo an ultrasound of legs venous reflux study if you are not standing.
Is it bec a potential bc is easier to reach the lungs easier if laying vs standing?
Incorrect-If a patient has reflex that needs to be treated, it will show in reverse Trendelenburg with a good enough tech. If reflex doesn’t show in reverse Trendelenburg, than it is not significant enough to be treated. Standing every venous pt is tedious and unnecessary.
@@pblzr09 JK, you are wrong! Number 1: most practices do not even have a true reverse Trendelenburg table. Those tables take up a big space and are only used at particular radiology departments and are very expensive. Regular power tables cannot place the patient in the reverse-Trendelenburg position which requires a supporting plate on which feet rest. Using a regular table by raising the back and lowering the legs IS NOT putting the patient in reverse-trendelenburg position!! 2- The guidelines on Duplex Ultrasound in studying varicose veins, by the American College of Phlebology (new name: American Board of Venous and lymphatic medicine) specifically mention that "reverse Trendelenburg is not the proper position for mapping reflux sources in cases of varicose veins. Unfortunately, most physicians and sonographers out of being lazy and to avoid inconvenient themselves avoid placing the patient in a standing position. Guidelines are clear and in black and white. Sorry to be straightforward. Are you making it up that reverse-Trendelenburg is a proper position for studying reflux sources in cases of varicose veins, or do you have a solid reference? Please share your reference. We either want to do things right or bring excuses.
@@1771332 I guess myself and the top vascular surgeons in my state I work for have been doing it wrong for my 15 year career. There are plenty of studies that have been done that show no differences between SP or RT. Look it up. Ironic, you say “bring excuses”, yet say “most practices do not even have a true reverse Trendelenburg table.” Sources for that statement? “Physicians and sonographers out of being lazy and to avoid inconvenient themselves avoid placing the patient in a standing position.” Sources for that?
Another point I forgot to mention. I routinely find significant reflux in perforating veins and treat them by different means, resulting in the successful treatment of varicose veins and their symptoms. Many of them are in locations that are impossible to be evaluated unless the patient is standing during reflux mapping. They can be at any aspect of the leg starting from the gluteal, para-perineal, posterior thigh, and obvious other areas. Now, please tell me in RT, when the patient's body is against the table, how do check these areas in detail with ultrasound? Impossible!. Only when the patient is standing on a high stool and the sonographer is sitting lower (on a low stool) all areas can be evaluated. the patient rotates and any area that needs to be evaluated will be in front of the sonographer. I bit that in practices that do the ultrasound with the patient resting in any position on the exam table and even in RT, areas such as gluteal, para-perineal, and posterior thigh are not studied well! How many incompetent perforating veins in gluteal, para-perineal and infra-gluteal and posterior thigh have you treated in the last 6 months. I bit almost zero! Changing habits is hard, I know it. But knowingly doing a partial ultrasound study in place of detailed and complete ultrasound is another thing. Most surgeons just focus on GSV & SSV, while there are many more perforators that can be a source of the patient's problems. Due to routinely checking all areas, in 2001, for the first time, I introduced para-perineal varicosities in multiparous ladies as a source of symptomatic legs varicosities that take certain routes into legs' superficial veins. And I introduced foam sclerotherapy of these varicosities which has proved to be very safe and effective. But the key is that one must think of these possibilities and LOOK for them, then treat! We don't know what we are missing, until flex our minds and start looking at things slightly differently. Then new horizons will show up. I have so many photos and ultrasound images of such cases that will make it clear to you what I mean. May be I should start making RUclips videos about these points. Pictures say a thousand words.
Hello. Is it possible to have clots or dvt with normal d dimer? I have a tiny bruise on my calv but my leg hurts badly and I have weird sensations and pain in my leg.
I wish you would make videos about it! That would be awesome!
Bhai koi isi ke liye Dr Bata to Bhai 3 sal SE paresan hu me
Sir contact please
OooooooooooooooooooooOOOooo
Sir help me please contact
Iwanttelugu
meri friend ko dvt pe hai
Bhai ho gye thik aapke friend mujhe bhi dvt hai bta do
@@Allinone.1533 Hii bro abhi b hai doctor nha 6 month tak rest rakha hai
Bhai vaise doctor ne bola hai thik to Ho jata hai na
@@Allinone.1533 haan aap kaha sai ho mujhe phone kro no 7006850958
@@faisalrehaan9509 bhai Delhi se hu mai
Little bit complicated ... Needs to be repeated more than one time to understand it well.