Ultrasound for critical care physicians: complication of a distant malignancy

Southwest Journal of Pulmonary and Critical Care

Boivin M¹  Sante SC¹ 

[1] University of New Mexico, Albuquerque, NM USA;

关键词: venous;    thrombosis;    malignancy;    hypercoaguable;    ultrasound;    internal jugular;    bedside ultrasound;    prdisposing factors;    colon cancer;    complication;   

DOI  :  10.13175/swjpcc055-16

来源: DOAJ

【 摘 要 】

No abstract available. Article truncated after first page. An 82-year-old woman with prior medical history of stage IV colon cancer and chronic obstructive pulmonary disease presented to the medical intensive care unit with newly diagnosed community acquired pneumonia and acute kidney injury. The patient presented with acute onset of shortness of breath, nausea, generalized weakness, bilateral lower extremity swelling and decreased urine output. She was transferred for short term dialysis in the setting of multiple electrolyte abnormalities, including hyperkalemia of 6.4 mmol/l, as well as a creatinine of 6.5 mg/dl. The following imaging of the right internal jugular vein was performed with ultrasound during preparation for placement of a temporary triple lumen hemodialysis catheter. Based on the above imaging what would be the best location to place the dialysis catheter? 1. Left internal jugular vein; 2. Right femoral vein; 3. Right internal jugular vein; 4. Right subclavian vein. ...

【 授权许可】

Unknown