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A patient with calf pain
Published in Tim French, Terry Wardle, The Problem-Based Learning Workbook, 2022
Venous stasis Immobility (travel/bedridden/paralysis/paresis or plaster immobilisation)Recent surgery or trauma (which can also cause hypercoagulability)Abdominal or pelvic malignancy, or pregnant uterus compressing proximal vesselsVaricose veinsCardiac failure
Practical guide to scanning the saphenous systems (GSV and SSV) and perforators
Published in Joseph A. Zygmunt, Venous Ultrasound, 2020
Common indications for performance of this examination include, but are not limited to: Stasis dermatitis or skin pigmentationVenous stasis ulcersRecurrent swelling of the lower calf and ankleLower extremity pain or other discomfort (e.g., aching, heaviness, fatigue, soreness, burning)Visible varicose veins (generally, ≥3 mm in diameter)Venous claudicationInflammationInduration, white or atrophie blanche, and lipodermatosclerosisPain and edema of the lower extremitiesPreoperative evaluation for venous insufficiency
Critical Care of the Trauma Patient
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Increased IAP reduces cardiac output as well as increasing central venous pressure, systemic vascular resistance, pulmonary artery pressure and pulmonary artery wedge pressure. Cardiac output is affected mainly by a reduction in stroke volume, secondary to a reduction in preload and an increase in afterload. This is further aggravated by hypovolaemia. Paradoxically, in the presence of hypovolaemia, an increase in IAP can be temporarily associated with an increase in cardiac output. It has been identified that venous stasis occurs in the legs of patients with abdominal pressures above 12 mm Hg. In addition, recent studies of patients undergoing laparoscopic cholecystectomy show up to a fourfold increase in renin and aldosterone levels.
Why binge television viewing can be bad for you
Published in Expert Review of Cardiovascular Therapy, 2022
Setor K. Kunutsor, Jari A. Laukkanen
Binge TV viewing is a predominant sedentary behavior which involves high levels of immobilization or inactivity, which can drive the pathogenesis of venous and arterial thromboembolic disease via the following pathways (Figure 1): (i) increase in levels of adverse levels of risk factors such as lipids, body weight, and blood pressure; (ii) increase in systemic inflammation; (iii) increase in plasma viscosity and platelet aggregation; and (iv) promotion of venous stasis through inhibiting venous blood return from the lower extremities during prolonged sitting [69]. The time spent binge TV viewing possibly displaces exercise time, thus contributing to reductions in overall daily energy expenditure [41], which has adverse effects on cardiometabolic risk markers. Furthermore, binge TV viewing is associated with unhealthy dietary intakes (e.g. sugar-sweetened beverages and fried foods) [70,71], which also increase the risk of thrombotic disease [72].
Venous thromboembolism after radical cystectomy and urinary diversion: a single-center experience with 1737 consecutive patients
Published in Scandinavian Journal of Urology, 2019
Mahmoud Laymon, Ahmed Harraz, Ahmed Elshal, Ahmed Shokeir, Amr Elbakry, Hassan Abol-enein, Atallah Shaaban, Ahmed Mosbah
In this study, we found a significant prediction ability of symptomatic lymphocele to development of VTE on univariate analysis. The explanation might most likely be due to compression of large pelvic veins and therefore; venous stasis ensues. In addition, we found that patients received ≥4 units of packed RBC'S were more likely to develop VTE on univariate analysis. These findings are in concordance with previous reports. In a retrospective study evaluating risk factors of VTE following radical prostatectomy, Tollefson et al. [25] found that perioperative blood transfusion, non-O blood group, and pelvic collection were significant predictors of VTE. In general surgery reports, Nilsson et al. [26] demonstrated that perioperative allogenic blood transfusion increased the incidence of VTE in women following resection of colorectal cancer.
Is there any association between antidepressants and restless legs syndrome in a large Turkish population receiving mono or combined treatment? A cross-sectional comparative study
Published in Psychiatry and Clinical Psychopharmacology, 2019
Faruk Ömer Odabaş, Ali Ulvi Uca
The demographic data of the participants in both groups, such as age, gender, educational, marital status, employment status and cigarette smoking, and the use of antidepressants were evaluated. The existence of previous RLS, previous treatment regimes due to RLS, and disease period were also investigated in both groups. RLS diagnosis was performed under the criteria of RLS proposed by the International Restless Leg Syndrome Study Group (IRLSSG). The criteria were developed by IRLSSG in 1995 [3] and updated at an international conference at the National Institutes of Health in Washington, DC, in 2003. Currently, the following five diagnostic criteria must be met: (1) the need to move the legs due to accompanied or led by disturbing and unpleasant sensations in the legs; (2) the need to move or disturbing sensations must begin and deteriorate at rest; (3) the need to move or disturbing sensations is relieved partially or totally with movement, such as walking or stretching; (4) the need to move or disturbing sensations becomes worse during the evening or night time, rather than daytime, or occurs only in the evening or at night; and (5) the above-mentioned characteristics cannot be evaluated as associated with only primary symptoms, or other medical or behavioural conditions, such as myalgia, venous stasis, swollen legs, cramps of legs, and habitual leg shaking [8].