Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrogr...

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" Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow "
Villarroel, Nadia Aracelliz; Wagner, William; Schoenfeld, Elizabeth

Document Type	:	AL
Record Number	:	910614
Doc. No	:	LA5324z8hx
Title & Author	:	Occult Vascular Transection Identified by Point-of-care Ultrasound Demonstrating Evidence of Retrograde Flow [Article]\ Villarroel, Nadia Aracelliz; Wagner, William; Schoenfeld, Elizabeth
Date	:	2019
Title of Periodical	:	UC Irvine
Abstract	:	Acute vascular injury can be a cause of significant disability and morbidity. High clinical suspicion and a thorough physical examination are key components to facilitate a timely diagnosis. We present a case of acute vascular injury after isolated penetrating trauma. Physical examination demonstrated a strong distal radial pulse; however, point-of-care ultrasound facilitated an evaluation of the directionality of arterial flow, demonstrating that flow was retrograde via the palmar arch. We subsequently identified a proximal and complete arterial laceration.