Assessment of Lower Limbs Swelling and Pain using Ultrasonography

Abstract

This is an analytical prospective study used to characterize the lower limb vascular abnormality and other related abnormality in Doppler ultrasound in patient with lower limb pain or swelling or those are highly suggestive for this type of disease in period from January 2013 to September 2016. hundred and ten patient; Firstly patient with differential diagnosis of these selected lower limb disease were underwent successful laboratory and imaging investigation particularly for those suffering from Lower Limbpain and associated symptoms, then the lower limbswere examined with real-time sonography, using mobile GE LOGIQ 5 ultrasound machine, ideally after 6-hoursof fasting. Both supine and right anterior oblique views were obtained. Sagittal, transverse, coronal, and subcostal oblique views are suggested using both standard abdominal transducer and a higher frequency transducer. The result showed that the most affected age group by Deep Venous Thrombosis (DVT) was 40-50 years followed by (30-40 years) and the varicose vein affect the population in age group of (30-40 years)which is the active age. Lab examination prothrombin time (PT)international normalized ratio (INR) “PT/INR” and D-dimer very important for correlation with ultrasound sometimes it gives abnormal result this due to liver diseases. DVT was noted in 14.8% from total population, 20.5% having varicose vein, where most people with lower limbs pain and swelling showed normal result in 34.3%. Where the most affected limb more the 50% at both site and 29% for the left one, where the majority of the patient suffering from lower limbs pain in 45% has strong indicator for lower limbs Doppler scan. The most important outcome from the pain and swelling resultedin deep veins thrombus which is most important ultrasound clinical finding.