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Doctor insights on: Ultrasound Venous Lower Extremity Bilateral

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How can I have a ultrasound in the lower extremity that revealed venous insufficiency in the saphenous vein but no varicose vein?

How can I have a ultrasound in the lower extremity that revealed venous insufficiency in the saphenous vein but no varicose vein?

Veins are deep: The saphenous veins in the legs may lie very close to the skin, or a little deeper, covered by fat. If deeper saphenous veins have insufficiency, the varicosities may not be visible because they are the deeper kind. ...Read more

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Dr. Michael Gabor
2,316 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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Doc thought I had a dvt in my leg post op. ER did ultrasound and found biphasic flow in lower extremity and said pvd. I am 27yo. Is this likely?

Doc thought I had a dvt in my leg post op. ER did ultrasound and found biphasic flow in lower extremity and said pvd. I am 27yo. Is this likely?

Usually a: venous doppler ultrasound is performed to evaluate for DVT(maybe you had it done as well), but you are describing findings of an arterial doppler. Biphasic flow is abnormal and suggests PVD, as you describe. It would be every unusual for a 27 yo to have significant atherosclerotic changes unless you are diabetic or have another predisposing disorder, so you need to talk to your doc about results ...Read more

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What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

What is bilateral lower extremity length dependent sensory polyneuropathy? And what causes it?

BLELDSM made simple: In sensory polyneuropathy, sensory nerve fibers that carry info about temperature, touch, pain, & position are damaged & can't transmit signals. Length-dependent means limbs furthest away are 1st to be affected, as in both lower legs. Common causes include diabetes, nutrient deficiency, connective tissues disorders, infectious diseases, or toxins. Blood tests can rule out most of these causes. ...Read more

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I have pitting edema + 2 to bilateral lower extremities. High LDL of 433 and i tend to have more swelling in my right leg. Could it be a clot?

I have pitting edema + 2 to bilateral lower extremities.  High LDL of 433 and i tend to have more swelling in my right leg. Could it be a clot?

It might lead to one: This appears to be a result of congestive heart failure/ fluid retention. This is usually in people in their sixth decade of life (50-60). However you've a high LDL and so there is likely an increased risk of heart disease. The edema is not a sign of a clot by itself, but the pressure on the vessels of your legs can cause one by venous stasis, etc.. Please see your doctor soon for therapy. ...Read more

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Elevated D dimer. Negative PE CT scan and venous extremity ultrasound. D dimer never elevated before but is now 3 x. I’m only 23. Concerning??

Elevated D dimer. Negative PE CT scan and venous extremity ultrasound. D dimer never elevated before but is now 3 x. I’m only 23. Concerning??

Little concern: Perspective: D dimer tests well known to be nonspecific. A common cause of high D dimer is clot somewhere in the body. So when there's suspicion of clot, D dimer test can be useful. If D-dimer low, usually means no clots. If elevated, doesn't mean there is clot because many things like liver disease, high rheumatoid factor, inflammation, recent surgery, others cause high D-Dimer. Hope this helps. ...Read more

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Causes of lower extremity swelling in someone who injects dilaudid in her thighs?

Causes of lower extremity swelling in someone who injects dilaudid in her thighs?

See a doctor: This may or may not be related to your injection of medication. Things to consider are a cellulitis (skin infection), blood clot in the deep veins of your leg, or just inflammation/clotting of the superficial veins in your leg. Please have yourself evaluated by a doctor asap. ...Read more

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Can i bypass lower extremity with fasciotomy?

Can i bypass lower extremity with fasciotomy?

Sometimes: There are occasions where a vascular surgical bypass and fasciotomy are performed at the same time, vascular trauma, acute ischemic leg. There are occasions where bypass and fasciotomy are done separately. They are not the same procedure, so can not be used interchangeably. Fasciotomy allows the leg to swell with less risk for muscle and nerve damage, less risk for amputation. Be well. ...Read more

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I am 40 with unexplained lower extremity parapasesis. I cant move anything waist down. how much muscle loss/ nerve loss to expect.

I am 40 with unexplained lower extremity parapasesis.  I cant move anything waist down.  how much muscle loss/ nerve loss to expect.

Insufficient data: First of all, "paraparesis" MEANS lower extremity weakness. What does "unexplained" mean? That you can't explain it, or your doctors can't? Are you absolutely sure they didn't find a cause? Some patients just don't get it the first time around. - If the weakness is from the CNS (spinal cord), you'll get disuse atrophy. If PNS (lumbosacral plexus), you'll get neurogenic atrophy - much worse. ...Read more

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The other day 5 min after i had ate/drank lunch i had horrible pain in my left lower stomach and left lower extremity. What could that be?Also had b.M

The other day 5 min after i had ate/drank lunch i had horrible pain in my left lower stomach and left lower extremity. What could that be?Also had b.M

Several posibilities: This may have been an acute attack of diverticulitis, it could be due to kidney stones, and other possible causes. This may have nothing whatever to do with your having eaten recently. If this recurs you should definitely see a doctor and get evaluated. To expand on possibilities is impossible in this confined space. ...Read more

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What type of lower extremity pain is associated with ovarian cancer?

What type of lower extremity pain is associated with ovarian cancer?

Not a common feature: Leg pain is not a usual feature of ovarian cancer. A person with ovarian cancer may develop deep vein thrombosis in the legs and have pain, but that is not common. Unfortunately ovarian cancers do not cause specific symptoms, at least not in early stages. ...Read more

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Can a bad chiropractic adjustment of the lower extremity cause permanent disability? ex.pubic symphysis.

Can a bad chiropractic adjustment of the lower extremity cause permanent disability? ex.pubic symphysis.

Unlikely: Forces required to disrupt injure the human pelvic ring are massive in the lab and beyond what can be produced by hands applied externally ...Read more

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What type of doctor can order a lower extremity joint mri?

What type of doctor can order a lower extremity joint mri?

Various: Evaluation of a joint is done to look for ligament and bony disruption in the case of unexplained pain, ongoing disease (like arthritis) or trauma. A joint MRI can be ordered by your family doctor, an er doctor, an orthopedic surgeon or a rheumatologist. It is performed by a radiologist who will evaluate the results. ...Read more

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Where do I go to get a lower extremity joint MRI without dye done?

Where do I go to get a lower extremity joint MRI without dye done?

MRI without "dye": Some hospitals have a permanent MRI unit; others share one with other hospitals; there are also free-standing imaging offices that do ct's & mri's. Unless you are allergic to contrast (dye) or have severe kidney disease, contrast is used for an optimal study. Discuss that issue with the doc ordering the mri. ...Read more

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Why is there such a drastic difference in the value of prox pfa psv between the right leg -82.3 vs left leg 64.4 on a lower extremity arterial duplex?

Why is there such a drastic difference in the value of prox pfa psv between the right leg -82.3 vs left leg 64.4 on a lower extremity arterial duplex?

Not enough info: That is not necessarily a drastic difference, and both may well be within normal limits. I would not be concerned about those numbers alone. The full leg ultrasound or pressure testing may provide more information. ...Read more

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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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Extremity (Definition)

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