Evidence forms the basis of modern medicine. Clinical research provides us with this evidence, guiding health professionals towards solutions to problems that they face in daily practice. Transferring existing problems in medical practice to a research setting is a challenging process that requires careful consideration. The practice of clinical epidemiology aims to address this through the application of established approaches for research in human populations, while at all times focussing on the problem at hand from a clinical perspective.
Case study: Recurrent deep vein thrombosis in thoracic outlet syndrome
Case Study: Deep Vein Thrombosis | Pinson & Tang
We are reporting a case of a healthy year-old male, with no significant past medical history, who was found to have an incidental nonocclusive deep vein thrombosis in the right internal jugular vein detected on a head MRI previously ordered for work-up of headaches. A follow-up upper extremity venous Doppler ultrasound confirmed the presence of a partially occlusive deep vein thrombosis in the right jugular vein. The case presented is unique for the reason that the patient is young and has no prior risk factor, personal or familial, for venous thrombosis except for associated polycythemia on clinical presentation. Isolated internal jugular vein IJV thrombosis is a rare condition that is underdiagnosed and associated with significant morbidity such as pulmonary embolism and postthrombotic syndrome. The most common causes of IJV thrombosis are cancer, central venous catheter, and ovarian hyperstimulation syndrome. Patients may present with a painful swollen neck or may be asymptomatic.
Deep Vein Thrombosis Case Study
Deep vein thrombosis DVT is the formation of a blood clot in a deep vein , most commonly in the legs or pelvis. This is called pulmonary embolism PE. The mechanism of clot formation typically involves some combination of decreased blood flow rate , increased tendency to clot , changes to the blood vessel wall , and inflammation.
Nathan Longbranch, a long-time patient of David Swensen, D. At 6'3" and pounds, Nathan, age 42, was a Division 1 college football player in his younger years. Posted in Risk Management on Thursday, January 18, An avid cyclist who often participated in toplus mile charity rides, Nathan worked out with a trainer several times a week. He had been seen by my practice regularly during the past six years for complaints of lower and mid back pain, post meniscus rehabilitation 14 months prior and Achilles pain, related to athletic activity.