Joe Wileman

Joe Wileman

Affiliations: SpR in Acute Medicine Queen Alexandra Hospital Cosham Portsmouth PO6 3LY

All Journals from Joe Wileman

Journal Watch

Clinical Reviews, Volume 10, Issue 1, Pages 1 - 64 (2011)

Journals were reviewed between August and December 2010. The journals reviewed include: The lancet, Lancet Neurology, New England Journal of Medicine, British Medical Journal, Heart, Gut, Thorax, Circulation, Journal of the American Medical Association (JAMA), American Journal of Medicine, Archives of Internal Medicine, and Annals of Internal Medicine. The articles chosen are those which have particular relevance to Acute Physicians.

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Preventing deaths in Ambulatory Care from Isolated Pelvic Vein Deep Vein Thrombosis: Mortality and Mortality Meetings have a key role

Research Audit and Clinical Practice, Volume 10, Issue 2, Pages 65 - 120 (2011)

Abstract

Isolated Pelvic vein Deep Venous Thrombosis (DVT) is a relatively rare phenomenon, but is usually not identified by conventional lower limb duplex Ultrasound scanning. We present two cases of isolated iliac vein thrombosis; the first resulting in the patient’s death from Pulmonary Embolism (PE) after normal lower limb duplex scan. The second case was identified and successfully treated after introduction of a revised investigation algorithm following the first case. The literature supports the use of magnetic resonance imaging, CT venography, or ascending venography, to diagnose this condition.

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