title: Paget-Schroetter syndrome diagnosed by bedside emergency physician performed ultrasound: a case report.
abstract: BACKGROUND
  Paget-Schroetter syndrome, or an upper-extremity deep venous thrombosis (UEDVT), occurs in young people after strenuous repetitive activity involving the upper extremity. The long-term morbidity and mortality of this condition is similar to the effects of lower-extremity DVT and therefore, its early diagnosis and treatment are essential.
  
  
  OBJECTIVE
  This case report describes Paget-Schroetter syndrome (effort thrombosis) diagnosed at the bedside by Emergency Physician performed ultrasound.
  
  
  METHODS
  This is a case report of an uncommon but potentially dangerous disease that carries high morbidity if not diagnosed and treated early. Emergency Physicians should be aware of this condition in any young patient who presents with upper-extremity complaints with a history of repetitive use. Although the role of ultrasound in the diagnosis of lower-extremity DVT is well described, this case report is unique because it illustrates the diagnosis of Paget-Schroetter syndrome completed at the bedside.
  
  
  CONCLUSIONS
  This article presents the case and discusses the incidence, potential causes, predisposing factors, diagnostic modalities, and the course of treatment for this particular diagnosis.
authors: Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
authors: Shannon
authors: S
authors: O'Keefe
authors: Kristin A
authors: KA
authors: Carmody
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D004632:Emergency Medical Services; D004636:Emergency Service, Hospital; D006495:Heparin, Low-Molecular-Weight / Q000627:therapeutic use; D006801:Humans; D008297:Male; D060051:Occupational Injuries / Q000150:complications*; D019095:Point-of-Care Systems; D018615:Ultrasonography, Doppler, Color; D056824:Upper Extremity Deep Vein Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D014859:Warfarin / Q000627:therapeutic use; D014891:Weight Lifting / Q000293:injuries*
chemical_list: D000925:Anticoagulants; D006495:Heparin, Low-Molecular-Weight; D014859:Warfarin