DISSERTATION ABSTRACT
Comparison between clinical semiology and vascular ultrasound in lower limb venous disease
Carlos Alberto Araujo Chagas
MSc. in Morphology, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Specialist in Angiology, Pontifícia Universidade Católica do Rio de Janeiro (PUCRJ), Rio de Janeiro, RJ, Brazil. Assistant professor, Anatomy, Universidade Gama Filho (UGF), Rio de Janeiro, RJ, Brazil. Assistant professor, Morphology, Universidade Federal Fluminense (UFF), Rio de Janeiro, RJ, Brazil. Staff, Angiology Service, Santa Casa da Misericórdia do Rio de Janeiro (HGSCMRJ), Rio de Janeiro, RJ, Brazil. Aspiring member, SBACVRJ
ABSTRACT
Objective: Venous diseases have high prevalence in the general population. This study aimed at comparing the findings of clinical semiology and vascular ultrasonography, focusing on the study of chronic venous insufficiency.
Methods: Thirty-two patients were selected from the Angiology Service of Hospital Geral da Santa Casa da Misericórdia do Rio de Janeiro. According to the criteria of presence or not of signs and symptoms of chronic venous insufficiency associated with different etiopathogenic causes of the disease, 20 patients were included in the study (15 females). Age ranged between 26 and 78 years (mean = 62.5; standard deviation = 16.68). Patients were submitted to a judicious semiological examination to verify specific clinical findings. Afterward, individuals were submitted to an investigation using vascular ultrasound.
Results: In all patients the clinical examination had correlation with the findings of vascular ultrasound. Prevalence of deep venous thrombosis was 40%. Eight individuals had post-thrombotic syndrome, five of whom had venous stasis ulcers. Of the remaining patients, four had chronic venous insufficiency associated with changes in perforating and communicating veins; three were caused by osteoarticular disorder; four patients had myoneural disorders; and one had arteriovenous fistula. Deep venous thrombosis was the most frequent finding among many causes of chronic venous insufficiency.
Conclusion: There was association between clinical findings and Doppler ultrasonography. Anamnesis and clinical examination were crucial for patient selection. This enabled a good relationship for analysis of results comparative to Doppler ultrasonography. The association of methods to study patients with chronic venous insufficiency showed high sensitivity when there is good selection of patients to be submitted to the examination for complementation and documentation of cases. Clinical examination and Doppler ultrasonography should be associated, and such association should be performed when there is good indication for its use, which can reduce the costs associated with the examinations.
Keywords: Chronic venous insufficiency, thrombosis, Doppler ultrasonography, semiology.
This study was conducted at the Angiology Service, Hospital Geral, Santa Casa de Misericórdia, Rio de Janeiro, RJ, Brazil. This dissertation was presented at the Graduate Program (Specialization) in Angiology, Angiology Service, Centro de Ciências Biológicas e de Medicina, Escola Médica de Pós-Graduação, Pontifícia Universidade Católica do Rio de Janeiro (PUCRJ), Rio de Janeiro, RJ, Brazil.
Advisor: Prof. Dr. Sonia Maria do Valle de Araujo de Barros
Co-advisor: Prof. Dr. Ney Almeida Mello
Examiners: Prof. Dr. João Gabriel Hosannah Cordeiro, Prof. Dr. David Rubens Azulay and Prof. Dr. Antonio Luis Araújo
Manuscript received September 8, 2008, accepted December 28, 2008.
No conflicts of interest declared concerning the publication of this dissertation abstract..
DISSERTATION ABSTRACT
Comparison between clinical semiology and vascular ultrasound in lower limb venous disease
Carlos Alberto Araujo Chagas
MSc. in Morphology, Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil. Specialist in Angiology, Pontifícia Universidade Católica do Rio de Janeiro (PUCRJ), Rio de Janeiro, RJ, Brazil. Assistant professor, Anatomy, Universidade Gama Filho (UGF), Rio de Janeiro, RJ, Brazil. Assistant professor, Morphology, Universidade Federal Fluminense (UFF), Rio de Janeiro, RJ, Brazil. Staff, Angiology Service, Santa Casa da Misericórdia do Rio de Janeiro (HGSCMRJ), Rio de Janeiro, RJ, Brazil. Aspiring member, SBACVRJ
ABSTRACT
Objective: Venous diseases have high prevalence in the general population. This study aimed at comparing the findings of clinical semiology and vascular ultrasonography, focusing on the study of chronic venous insufficiency.
Methods: Thirty-two patients were selected from the Angiology Service of Hospital Geral da Santa Casa da Misericórdia do Rio de Janeiro. According to the criteria of presence or not of signs and symptoms of chronic venous insufficiency associated with different etiopathogenic causes of the disease, 20 patients were included in the study (15 females). Age ranged between 26 and 78 years (mean = 62.5; standard deviation = 16.68). Patients were submitted to a judicious semiological examination to verify specific clinical findings. Afterward, individuals were submitted to an investigation using vascular ultrasound.
Results: In all patients the clinical examination had correlation with the findings of vascular ultrasound. Prevalence of deep venous thrombosis was 40%. Eight individuals had post-thrombotic syndrome, five of whom had venous stasis ulcers. Of the remaining patients, four had chronic venous insufficiency associated with changes in perforating and communicating veins; three were caused by osteoarticular disorder; four patients had myoneural disorders; and one had arteriovenous fistula. Deep venous thrombosis was the most frequent finding among many causes of chronic venous insufficiency.
Conclusion: There was association between clinical findings and Doppler ultrasonography. Anamnesis and clinical examination were crucial for patient selection. This enabled a good relationship for analysis of results comparative to Doppler ultrasonography. The association of methods to study patients with chronic venous insufficiency showed high sensitivity when there is good selection of patients to be submitted to the examination for complementation and documentation of cases. Clinical examination and Doppler ultrasonography should be associated, and such association should be performed when there is good indication for its use, which can reduce the costs associated with the examinations.
Keywords: Chronic venous insufficiency, thrombosis, Doppler ultrasonography, semiology.
This study was conducted at the Angiology Service, Hospital Geral, Santa Casa de Misericórdia, Rio de Janeiro, RJ, Brazil. This dissertation was presented at the Graduate Program (Specialization) in Angiology, Angiology Service, Centro de Ciências Biológicas e de Medicina, Escola Médica de Pós-Graduação, Pontifícia Universidade Católica do Rio de Janeiro (PUCRJ), Rio de Janeiro, RJ, Brazil.
Advisor: Prof. Dr. Sonia Maria do Valle de Araujo de Barros
Co-advisor: Prof. Dr. Ney Almeida Mello
Examiners: Prof. Dr. João Gabriel Hosannah Cordeiro, Prof. Dr. David Rubens Azulay and Prof. Dr. Antonio Luis Araújo
Manuscript received September 8, 2008, accepted December 28, 2008.
No conflicts of interest declared concerning the publication of this dissertation abstract..
Publication Dates
-
Publication in this collection
26 May 2009 -
Date of issue
Mar 2009
