Lower Extremity DVT
Understand Lower Extremity DVT in Leg Veins Ultrasound Imaging imaging, what it means, and next steps.
30-Second Overview
Non-compressible vein with intraluminal echogenic thrombus; absent or reduced Doppler flow.
Source for pulmonary embolism; requires anticoagulation unless contraindicated.
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Imaging Appearance
Ultrasound Imaging FindingNon-compressible vein with intraluminal echogenic thrombus; absent or reduced Doppler flow.
Clinical Significance
Source for pulmonary embolism; requires anticoagulation unless contraindicated.
What is DVT?
Blood clot within deep veins of the leg. Compression ultrasound is first-line for diagnosis.
Imaging Appearance
- Vein fails to compress with probe pressure
- Visible clot; absent spontaneous/respiratory flow on Doppler
- Distension of affected vein
Clinical Significance
- Embolization risk to lungs
- Guides initiation of anticoagulation
Symptoms
- Calf/thigh pain, swelling, warmth
Diagnosis
- Duplex ultrasound
- Labs: renal function before contrast studies if needed
Treatment
- Anticoagulation; thrombectomy in select cases
- Compression stockings and mobility
Prognosis
- Good with timely treatment; monitor for post-thrombotic syndrome
What Should You Do?
- Seek prompt medical care for leg swelling/pain.
- Start anticoagulation if prescribed.
- Watch for shortness of breath—emergency sign.
Medical Disclaimer: Educational only; follow clinician guidance.
Correlate with Lab Results
When Lower Extremity DVT appears on imaging, doctors often check these lab tests:
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