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Lower Extremity DVT Knowledge Check

Lower Extremity DVT POCUS Knowledge Check

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This Knowledge Check for lower extremity deep vein thrombosis (DVT) point-of-care ultrasound (POCUS) gives you an opportunity to test your POCUS knowledge. Each question offers an explanation of the answer, and you'll receive feedback about your final score.

What are you looking for on a deep vein thrombosis (DVT) ultrasound?

Hypoechoic edge shadowing artifacts

Anechoic areas

Non-compressibility

In relation to the inguinal ligament, where should the high-frequency linear probe be placed to begin evaluating for deep vein thrombosis (DVT) in saphenofemoral regions?

Cephalad and parallel to the inguinal ligament

Proximal and perpendicular to the inguinal ligament

Caudal and parallel to the inguinal ligament

A 45-year-old African American female presented to the Emergency Room with a chief complaint of pain, swelling and redness in her left leg and thigh for the past week after a transatlantic flight. A two-zone compression test was performed on both lower extremities. The image above was obtained in the left saphenofemoral region with compression. An echogenic deep vein thrombus (DVT) was seen. The probe orientation marker was pointing towards the patient’s right side. Match the vessels with the list of blood vessels below. An echogenic clot is seen in B.

Which vessel is represented by Vessel A?

Deep/Profunda femoral artery

Great saphenous vein

Superficial femoral artery

Common femoral vein

Which vessel is represented by Vessel B?

Deep/Profunda femoral artery

Common femoral vein

Superficial femoral artery

Great saphenous vein

Which vessel is represented by Vessel C?

Great saphenous vein

Superficial femoral artery

Common femoral vein

Deep/Profunda femoral artery

Which vessel is represented by Vessel D?

Superficial femoral artery

Common femoral vein

Deep/Profunda femoral artery

Great saphenous vein

A 35-year-old male presented to the Emergency Department with a history of pain, redness and swelling in the left leg for the past 5 days. A 2-zone compression test was performed in both lower extremities by the Emergency Room physician. The image and video above were obtained in the left popliteal region at the level of the popliteal crease. The image shows the popliteal vessels with adequate compression applied at the level of the popliteal crease.

Based upon the observation of the image and video, what is the correct diagnosis?

Popliteal artery and vein are fully compressible.

Clot is seen in the popliteal vein.

DVT in the popliteal vein. Popliteal vein is non-compressible.

While performing a POCUS 2-zone deep vein thrombosis (DVT) assessment of the lower extremities, where should the probe orientation marker be pointing?

To the patient's right side

To the patient's left side

To the patient's feet

A 35-year-old Asian female presented to the Emergency Department with a chief complaint of pain and swelling in the left leg. The video clip above was obtained while performing a two-zone compression test at the level of the left popliteal crease to look for evidence of DVT. The compression test was performed as per protocol.

What is your conclusion on observing the video?

Normal compressible - no DVT present.

Non-compressible popliteal vein - DVT present

Thrombus seen in the popliteal artery

A 65-year-old Hispanic male presented to the Emergency Department with pain and swelling in the left leg after a long flight from Australia to Chicago. After a POCUS deep vein thrombosis (DVT) assessment, he was found to have a thrombus in his left popliteal vein. The left popliteal vein is a deep vein. Fortunately, no other clots were discovered on a repeat full DVT assessment study the next day.

What is a key difference between a deep vein and superficial veins?

Deep veins are always accompanied by an artery .

Deep veins do not have valves.

Deep veins are always 4-5cm deeper than superficial veins.

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