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Doctor insights on: Ultrasound Venous Lower Extremity Bilateral

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After doppler scan result varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

After doppler scan result  varicose veins both lower limbs greater saphenous system due to incompetence of perforators of bilateral knee no thrombosis

Venous insufficiency: There is not enough information for me to comment. You need to know the size of the vein and the symptoms as well as the duration of reflux to help guide medical versus surgical therapy. ...Read more

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Dr. Michael Gabor
2,286 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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What is a bilateral venous duplex ultrasound?

What is a bilateral venous duplex ultrasound?

Patent veins: A venous duplex US uses sound waves to examine the patency of veins. It is used to look for blood clots in the veins and possible occlusions. This exam is mostly used on the arms, legs, and neck. ...Read more

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Unilateral low leg swelling w/ distended non varicose vein. Leg throbs after walking up stairs. General squeeze feeling. ABI neg. Is this arterial?

Unilateral low leg swelling w/ distended non varicose vein. Leg throbs after walking up stairs. General squeeze feeling. ABI neg. Is this arterial?

Leg Pain: Your symptoms do not sound like they are arterial. Pain walking up stairs often times is muscular or joint related. Leg swelling is not typical of an arterial problem and I doubt that the distended vein is the cause of your problem. You should see an orthopedic doctor and also have a venous ultrasound. ...Read more

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Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

Swelling back leg isolated below gastrocnemius to ankle. MRI, arteriovenous US normal.Tightness both sides of leg near ankle w/ dorsiflex. Tendonitis?

MRI of what?: This is tendonitis the MRI should have picked it up. If it was a Baker's cyst the US should have picked it up. What else did these examinations show? You need to discuss with your physician the results of the tests and what was and what was not imaged. ...Read more

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Venous insufficiency of lower limbs make veins worse?

Venous insufficiency of lower limbs make veins worse?

Valves malfunction.: Bad veins lead to venous stasis and insufficiency which is a result of the valves in the venous system malfunctioning . This can be due to the valves in the deep system, superficial system or connecting system. Deep system valve malfunction could be due to prior clots, superficial problems could lead to varicose veins and perforator malfunction could lead to venous ulcers.See a vein specialist. ...Read more

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Polycythemia vera verified by second opinion. + Crohn’s. Unilateral calf swelling. Unilateral superficial vein. D-dimer + US normal. Get venogram?

Polycythemia vera verified by second opinion. +  Crohn’s. Unilateral calf swelling. Unilateral superficial vein.

D-dimer + US normal. Get venogram?

Difficult to know: Polycythemia vera and Chrons are both risk factors for DVT . Also your sign and symptoms are suspicious for DVT. Venous Doppler US for a single exam may miss small DVT especially in the calf. D dimer if normal pretty sensitive. Many options repeat: Ultrasound and possibly d dimer, venogram [but these are not done much now], follow closely. Recommend close follow up with your doctor/ vein expert. ...Read more

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Do low INR levels cause portal vein thrombosis pain to return in upper abdomen?

Do low INR levels cause portal vein thrombosis pain to return in upper abdomen?

No but,,: A low INR is not a direct cause if pain. It stands for International Normalized Ratio and is the ratio of the patients prothrombin time to a normal prothrombin time value raised to the power of the ISI (international Sensitivity Index) or a ratio of tissue factor to a reference tissue factor. However if it's low it can mean that the blood is clotting more and can lead to thrombosis in patients. ...Read more

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Lower left leg has a rhythmic throb after walking just two blocks. ABI and arteriovenous ultrasound normal. Mild swelling posteriorly. Get angiogram?

Lower left leg has a rhythmic throb after walking just two blocks. ABI and arteriovenous ultrasound normal. Mild swelling posteriorly. Get angiogram?

No: ABI and arterial test are pretty accurate tests. If normal then angiogram should not be needed. Sometimes people can have chronic compartment syndrome. If this is persistent problem you should consider seeing an orthopedic surgeon. ...Read more

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Could chronic venous insufficiency (fluid retention in lower legs) be reversed?

Could chronic venous insufficiency (fluid retention in lower legs) be reversed?

CVI treatable.: Chronic venous insufficiency is due to malfunctioning of valves in the superficial, deep or both venous systems. Although not reversible, it is treatable. The superficial valves, if leaking, can be closed via laser. The deep valves are treated symptomatically with elevation, compression hose, possibly lymphedema massage and compression pumps. The goal is to prevent worsening of the cvi ...Read more

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Elevated d dimer level, CT scan of lungs normal.Left chest/neck/shoulder pain. Leg slight swelling and painful twitches in legs(ultrasound normal)why?

Elevated d dimer level, CT scan of lungs normal.Left chest/neck/shoulder pain. Leg slight swelling and painful twitches in legs(ultrasound normal)why?

Need more informatio: We need more information on your laboratory finding, your clincial evlaaution, your examination. Your physicians were looking for blood clots, emboli. You need to discuss this with your physicians. ...Read more

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3 rounds leg sclerotherapy, veins recur within 6 months, leg pinching/discomfort, newly visible arm and chest veins & arm weakness, need ultrasound?

At least!: Need an ultrasound and echo of heart at a minimum as well as possible evaluation of blood and clotting system by blood tests. May want to talk to vein doctor as Ct angiography may be more revealing. Do not wait on this! ...Read more

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Leg swelling between my knee and calf in my left leg.Inside of leg only.Venous doppler&arterial blood flow study both negative.No heart disease.Ideas?

Leg swelling between my knee and calf in my left leg.Inside of leg only.Venous doppler&arterial blood flow study both negative.No heart disease.Ideas?

Popliteal cyst: This could be a popliteal cyst (baker's) cyst. This comes from behind the knee and can sometimes leak fluid into the calf. ...Read more

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Unilateral lower leg swelling. Wear compression socks and elevate feet for saphenous reflux, leg remains same size. Might swelling not be vascular?

Unilateral lower leg swelling. Wear compression socks and elevate feet for saphenous reflux, leg remains same size. Might swelling not be vascular?

No: you have venous stasis. Any other swelling can be like abscess formation, muscle herniation. Fracture, and if you have the above trust me you will know it right away. My advice if you have good arterial flow get 30-40mmHg compression sock and use them. Cut salt from diet and elevate feet when at rest ...Read more

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GSV reflux below knee > 500ms. Mild swelling posteriorly. Lots of pain in lower leg, especially posterior-left side. Mri is normal. Strip the vein?

GSV reflux below knee > 500ms. Mild swelling posteriorly. Lots of pain in lower leg, especially posterior-left side. Mri is normal. Strip the vein?

See vein specialist.: While you do have reflux, .5 seconds is minimal. The longer the reflux the greater the venous insufficiency. Having reflux does not mean that it is the cause of your symptoms. See a vein specialist for a venous evaluation to see if your symptoms are due to your veins. ...Read more

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What causes multiple bilateral pulmonary emboli thrombosis of the pelvic veins?

What causes multiple bilateral pulmonary emboli thrombosis of the pelvic veins?

Few things: Recent surgery, prolonged immobilization, long distance traveling, cancer, and smoking cause traditional DVTs. If bilateral veins are compressed, an organ like the uterus can compress the veins but you will probably suffer from large fibroids . Blood disorders or other abnormal masses can also cause a mechanical compression at a higher location than both those veins. Emboli can reach both lungs. ...Read more

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Extremity (Definition)

Is appendage or body part that extends from the main body, such as arms or ...Read more