Bramante Robert M, Raio Christopher C
Department of Emergency Medicine, North Shore University Hospital, Manhasset, New York 11030, USA.
J Emerg Med. 2013 Aug;45(2):236-9. doi: 10.1016/j.jemermed.2012.11.044. Epub 2013 Feb 21.
Focused, proximal compression ultrasound (FPCUS) is a commonly used point-of-care study in the Emergency Department (ED). Pelvic vein deep venous thrombosis (DVT) is a rare presentation, and Emergency Physicians need to be aware of the limitations and pitfalls of FPCUS.
A case of external iliac vein DVT diagnosed in the ED is presented, with a focus on subtle signs seen during FPCUS that led to the diagnosis and additional ultrasound techniques to aid in appropriate point-of-care diagnosis.
We describe a patient who presented with lower-extremity pain and was subsequently diagnosed with external iliac DVT. A FPCUS study by Emergency Physicians was performed and demonstrated subtle findings that led to further investigation and appropriate diagnosis.
Emergency physicians using FPCUS in the evaluation of lower-extremity pain or swelling need to be aware of the pitfalls, limitations, and advanced techniques to avoid misdiagnosis while evaluating for DVT.
聚焦近端压迫超声检查（FPCUS）是急诊科常用的床旁检查方法。盆腔静脉深静脉血栓形成（DVT）较为少见，急诊医生需要了解FPCUS的局限性和陷阱。
介绍1例在急诊科诊断为髂外静脉DVT的病例，重点关注FPCUS期间发现的细微征象，这些征象有助于诊断，以及有助于进行适当床旁诊断的其他超声技术。
我们描述了1例出现下肢疼痛并随后被诊断为髂外DVT的患者。急诊医生进行了FPCUS检查，发现了细微征象，从而进行了进一步检查并作出了正确诊断。
在评估下肢疼痛或肿胀时使用FPCUS的急诊医生需要了解其中的陷阱、局限性和先进技术，以避免在评估DVT时出现误诊。
