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UNDERSTANDING AND INTERPRETING SPECTRAL WAVEFORMS IN THE UPPER AND LOWER EXTREMITIES, PART 2

Case 1

A 46 year old female presents to her primary care physician for right arm swelling. Her past medical history is significant for prior central venous catheter placement 8 weeks prior for intravenous antibiotics. Her physical examination is significant for significant right arm swelling. The remainder of the physical exam is unremarkable.

The patient was asked to undergo a right upper extremity ultrasound.

Images of her right upper extremity ultrasound are as follows:
 

FIGURE 1: Color and Spectral Doppler image of Right Internal Jugular Vein
 

FIGURE 2: Color and Spectral Doppler image of Distal Right Subclavian Vein
 

FIGURE 3: Color and Spectral Doppler image of Right Brachial Vein
 

FIGURE 4: Color and Spectral Doppler image of Proximal Right Subclavian Vein

 

 

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