Thank you and likewise Jason.
Shar
________________________________
From: JASON r <[log in to unmask]>
To: [log in to unmask]
Sent: Thu, July 29, 2010 9:04:43 AM
Subject: Re: 6 mo old
yep talking in long dramatic circles to describe a negative study, that will
warrant a call from the ordering doc to clarify those crazy descriptions.
Jason
________________________________
Date: Thu, 29 Jul 2010 05:44:51 -0700
From: [log in to unmask]
Subject: Re: 6 mo old
To: [log in to unmask]
I agree Jason. Hopefully the study will be repeated.
Best,Sharla
On Jul 29, 2010, at 8:03 AM, JASON r <[log in to unmask]> wrote:
Riley,'
>
>it sounds like typical radiology garble. :)
>
>________________________________
Date: Wed, 28 Jul 2010 19:35:21 -0700
>From: [log in to unmask]
>Subject: Re: 6 mo old
>To: [log in to unmask]
>
>
>I would like to know more about an pediatric echocardiogram on this infant, and
>if possible get some of her liver blood levels. At six months old. Blood levels
>are always a concern. Additionally what is her SPO2 status when all of this is
>going on. What does the radiologist mean normal findings, " Doppler waveforms
>are normal throughout with the exception of lack of normal diastolic flow within
>the right iliac, femoral, and popliteal arteries throughout the exam, and
>intermittent lack of diastolic flow within these vessels on the left. The size
>of the vessels appears normal with the exception of the left iliac artery which
>appears relatively diminutive." WHAT?? Really does sound a like a blood
>volume/cell production issue to me...maybe. Interesting
>
>
>
________________________________
From: JASON r <[log in to unmask]>
>To: [log in to unmask]
>Sent: Wed, July 28, 2010 6:17:04 PM
>Subject: Re: 6 mo old
>
>
>KTS is some what of a stretch.. It does not present with blue feet while
>standing, then resolves while lying, maybe secondary effects of multiple av's
>but would think it would be constant. I have seen this (bluing) phenomenon in
>many patients. Dont know what it is, even after venography, and angio.. however
>it was present in two patients with vasospastic disease, and even one with
>burgers.
>
>
>I like the Coartaction, or evern Sup vena cava syndrome ??? maybe
>
>
>good luck sound interesting.
>
>Hope this helps.
>> Date: Wed, 28 Jul 2010 06:45:03 -0700
>> From: [log in to unmask]
>> Subject: Re: 6 mo old
>> To: [log in to unmask]
>>
>> KTS is typically one sided and the discoloration does not go away with
>>elevation. This sounds like the patient has Bilateral lower extremity
>>
>> "discoloration" just when standing? Am I correct in your explanation?
>> It there redness or blue discoloration? Did you do pressures and PPG on the
>>toes? Still a lot of questions--does the patient's limb measure symmetrically,
>>how is their gait and development? I measure the length of the feet also.
>>
>> L
>>
>> -----Original Message-----
>> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Connie McCoy
>> Sent: Tuesday, July 27, 2010 8:01 AM
>> To: [log in to unmask]
>> Subject: 6 mo old
>>
>> Dear FlowNetters,
>> Your opinions/comments are appreciated regarding a 6 mo old female with
>>discoloration of BLE in the upright position. The pt apparently had a BLE
>>arterial duplex scan. My initial thought was May Thurner Syndrome or some
>>ileo/caval abnormality.
>> Here are the findings by a radiologist:
>> FINDINGS:
>> Flow was documented within all of the interrogated vascular structures. No
>>intraluminal thrombus is identified throughout. Complete coaptation occurred
>>with graded compression of the venous structures of the lower extremities.
>>Doppler waveforms are normal throughout with the exception of lack of normal
>>diastolic flow within the right iliac, femoral, and popliteal arteries
>>throughout the
>> exam, and intermittent lack of diastolic flow within these vessels on the left.
>>The size of the vessels appears normal with the exception of the left iliac
>>artery which appears relatively diminutive.
>> Connie McCoy, RVT
>>
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