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Rheumatology Case Report: Deep Vein Thrombosis Detected by Point-of-Care Ultrasound

Alvin Lee Day, MD, James W. Fant Jr., MD, & Michael Wagner, MD, FACP, RDMS  |  Issue: April 2017  |  April 18, 2017

Increasing numbers of students and residents are graduating from programs with ultrasound curricula, and they will begin fellowship in rheumatology with established skills in POCUS to supplement their MSUS training. As leaders in MSUS, rheumatology fellowships are strongly positioned to integrate additional modalities of POCUS that show utility in diagnosis and monitoring of the broad extra-articular manifestations of rheumatic diseases.


Alvin Lee Day, MDAlvin Lee Day, MD, is in his third year of postgraduate education in the Department of Internal Medicine, Palmetto Health/University of South Carolina School of Medicine, Columbia, S.C. He will begin a rheumatology fellowship at the University of Alabama at Birmingham this year.

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James W. Fant Jr., MDJames W. Fant Jr., MD, is an associate professor of clinical internal medicine, and director of the Division of Rheumatology, Palmetto Health/University of South Carolina School of Medicine, Columbia, S.C.

Michael Wagner, MD, FACP, RDMSMichael Wagner, MD, FACP, RDMS, is an assistant professor of clinical internal medicine and director of internal medicine ultrasound education at Palmetto Health/University of South Carolina School of Medicine, Columbia, S.C.

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References

  1. Ungprasert P, Srivali N, I, et al. Risk of venous thromboembolism in patients with rheumatoid arthritis: A systematic review and meta-analysis. Clin Rheumatol. 2014 Mar;33(3):297–304.
  2. Bernardi E, Camporese G, Büller HR, et al. Serial 2-point ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis: A randomized controlled trial. JAMA. 2008 Oct 8;300(14):1653–1659.
  3. Berko NS, Goldberg-Stein S, Thornhill BA, Koenigsberg M. Survey of current trends in postgraduate musculoskeletal ultrasound education in the United States. Skeletal Radiol. 2016 Apr;45(4):475–482.
  4. Cogliati C, Antivalle M, Torzillo D, et al. Standard and pocket-size lung ultrasound devices can detect interstitial lung disease in rheumatoid arthritis patients. Rheumatology (Oxford). 2014 Aug;53(8):1497–1503.
  5. Hoppmann RA, Rao VV, Bell F, et al. The evolution of an integrated ultrasound curricular (iUSC) for medical students: 9-year experience. Crit Ultrasound J. 2015 Dec;7(1):18.

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Filed under:ConditionsRheumatoid Arthritis Tagged with:case reportClinicaldeep vein thrombosisDiagnosisDVTimagingoutcomepatient carePOCUSpoint-of-careRARheumatoid arthritisrheumatologyTestTreatmentUltrasoundvenous thromboembolism

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