I agree, however we find that thrombus in the upper extremity is usually
secondary to another procedure rather than primary.  We don't call it
superficial thrombophlebitis or DVT, it's located, aged and a comment on
attachment then dealt with along with the underlying cause.
 

-----Original Message-----
From: Don Ridgway [mailto:[log in to unmask]]
Sent: Tuesday, September 20, 2005 7:28 PM
To: [log in to unmask]
Subject: 





Hi-

I have been objecting around here to the practice of calling "superficial
thrombophlebitis" vs. "deep vein thrombosis" in the upper extremities. It
seems to me that this distinction is kind of meaningless in the UE; I read
in the texts that the cephalic and basilic veins carry more UE outflow than
the brachial veins, so cephalic or basilic vein thrombus is potentially as
troublesome as brachial vein thrombus. All can propagate proximally, and all
can embolize.

I think that calling "superficial thrombophlebitis" in an UE report unduly
trivializes the findings.

Any thoughts on reporting standards for UE vs. LE thrombus?

Thanks,

Don Ridgway
Grossmont Hospital
Grossmont College



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