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Michelle L. Robbin, MD
The Swollen Extremity in the Hemodialysis Patient
Michelle L. Robbin, MD
11/12/2012 | Time : 35 min
About This Lecture:

Topics mentioned in this video : Title, Disclosures, Overview, Extremity swelling with access, Clinical history, Clinical history – pain, Large palpable mass, Clinical history – pain, Arterial steal – artery caudal to AVF, Transient AVF compression, Physical exam abnormal, Large palpable mass, Use compression, Physical exam abnormal, Sonographic image, Hematoma around graft, Rent in artery, Physical exam abnormal, Thrombosed graft, Draining vein stenosis – gray, Physical exam abnormal, Swelling, DVT, Physical exam abnormal, Other clinical findings of stenosis, Chart, Billing - 2011, Focal mass, Focal mass – PSA, Graft degeneration, Small PSAs from graft degeneration, Focal mass – PSA, Graft PSA, Brachial PSA found at mapping, PSA, No PSA, Swelling: diffuse, usually distal, Hematoma causing stenosis, Stenosis evaluation: US technique, Juxta-anastomotic stenosis AVF, Chart, Swelling – diffuse, Lt SCV occlusion after angioplasty, Right IJ monophasic - abnormal, Rt SCV monophasic - abnormal, Monophasic central venous flow, Bilat. brachiocephalic vein occlusion, Reversed flow in IJ, Brachiocephalic vein occlusion, Abnormal waveforms: fistulogram, Abnormal waveform: MRI, US access negative, no DVT, Diffuse significant arm swelling, Summary – swelling with access

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Keywords : arterial inflow, arterial steal, arteriovenous fistula, AVF, brachiocephalic vein, CFV, common femoral vein, deep venous thrombosis, dialysis access graft, dialysis fistula, dialysis graft thrill, dialysis graft, draining vein stenosis, DVT, extremity edema, fistulogram, graft bruit, graft degeneration, graft stenosis, IJV, internal jugular vein, low resistance flow, monophasic waveform, perigraft hematoma, PRF, PSA, pseudoaneurysm, pulse repetition frequency, respiratory phasicity, spectral waveform, subclavian vein, suprasternal notch, swollen extremity, thigh graft, thrombosed graft, transmitted arterial pulsations, venous occlusion, venous outflow

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