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Next check for rubor of dependency. Sit the patient upright and observe the feet. In normal patients, the feet quickly turn pink. If, more slowly, they turn red like a cooked lobster, suspect ischemia. Brodie-Trendelenburg test (assessment of valvular competence if varicose veins are present): One leg at a time.
It was defined by John Homans in 1941 as discomfort behind the knee upon forced dorsiflexion of the foot. [1] After many examples of false-positive Homans' signs were reported, Homans redefined it in 1944, stating that "discomfort need have no part in the reaction", and that increased resistance, involuntary flexure of the knee or pain in the ...
Thrombophlebitis is a phlebitis (inflammation of a vein) related to a thrombus (blood clot). [2] When it occurs repeatedly in different locations, it is known as thrombophlebitis migrans ( migratory thrombophlebitis ).
Superficial vein thrombosis, also known as superficial thrombophlebitis, is the formation of a blood clot (thrombus) in a vein close to the skin. It can co-occur with DVT and can be felt as a "palpable cord". [20] Migratory thrombophlebitis (Trousseau's syndrome) is a noted finding in those with pancreatic cancer and is associated with DVT. [27]
Superficial thrombophlebitis is a thrombosis and inflammation of superficial veins presenting as a painful induration (thickening) with erythema, often in a linear or branching configuration with a cordlike appearance. [2]: 826–7 [3] Superficial thrombophlebitis is due to inflammation and/or thrombosis, and,less commonly, infection of the
thrombophlebitis migrans The Trousseau sign of malignancy or Trousseau's syndrome is a medical sign involving episodes of vessel inflammation due to blood clot ( thrombophlebitis ) which are recurrent or appearing in different locations over time ( thrombophlebitis migrans or migratory thrombophlebitis ).
While venous thrombosis of the legs is the most common form, venous thrombosis may occur in other veins. These may have particular specific risk factors: [5] Cerebral venous sinus thrombosis, cavernous sinus thrombosis and jugular vein thrombosis: thrombosis of the veins of the brain and head
Most common complications with venous access are catheter related infections, thrombophlebitis and venous thrombosis. If having thrombophlebitis or thrombosis; pain when using the access is another complication. Peripheral venous access is least prone to thrombosis, followed by midline catheters and the centrally placed catheters.