From Weight Room To Operating Room: Unraveling Exertional Chest Pain And Arm Swelling

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From Weight Room To Operating Room: Unraveling Exertional Chest Pain And Arm Swelling - Page #3

Lab Studies: CBC, CMP, PT/INR, and D-dimer unremarkable. Thrombophilia panel (Protein C/S, Factor V, Antiphospholipid, Anticardiolipin) negative. Other Studies: Imaging: Chest X-ray normal. CT angiogram chest revealed a small right lower lobe pulmonary embolism without right heart strain. Right upper extremity venous duplex revealed an occlusive thrombus of right subclavian vein with axillary/basilic vein involvement. Venogram showed complete subclavian occlusion with chronic clot and filling of collaterals. Case Photo #1 Consultations: Vascular Surgery, Cardiothoracic Surgery, Nephrology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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