Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow

Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow

Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrat...

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Bibliographic Details
Main Authors: Nadia Aracelliz Villarroel, William Wagner, Elizabeth Schoenfeld
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2019-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/5324z8hx
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spelling doaj-a78854332dff45a780410b98600e11a12020-11-25T02:37:42ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2019-11-013410.5811/cpcem.2019.7.42808cpcem-03-372Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde FlowNadia Aracelliz VillarroelWilliam WagnerElizabeth SchoenfeldAcute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.https://escholarship.org/uc/item/5324z8hx
collection DOAJ
language English
format Article
sources DOAJ
author Nadia Aracelliz Villarroel
William Wagner
Elizabeth Schoenfeld
spellingShingle Nadia Aracelliz Villarroel
William Wagner
Elizabeth Schoenfeld
Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
Clinical Practice and Cases in Emergency Medicine
author_facet Nadia Aracelliz Villarroel
William Wagner
Elizabeth Schoenfeld
author_sort Nadia Aracelliz Villarroel
title Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
title_short Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
title_full Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
title_fullStr Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
title_full_unstemmed Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow
title_sort occult vascular transection identified by point-of-care ultrasound demonstrating evidence of retrograde flow
publisher eScholarship Publishing, University of California
series Clinical Practice and Cases in Emergency Medicine
issn 2474-252X
publishDate 2019-11-01
description Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.
url https://escholarship.org/uc/item/5324z8hx
work_keys_str_mv AT nadiaaracellizvillarroel occultvasculartransectionidentifiedbypointofcareultrasounddemonstratingevidenceofretrogradeflow
AT williamwagner occultvasculartransectionidentifiedbypointofcareultrasounddemonstratingevidenceofretrogradeflow
AT elizabethschoenfeld occultvasculartransectionidentifiedbypointofcareultrasounddemonstratingevidenceofretrogradeflow
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