emDocs - March 24, 2020 - By: Adibi S - Reviewed by: Lew E; Koyfman A; Long B
"Pearls
- A high index of suspicion should be maintained for sudden onset of bilateral lower extremity paresthesias/pain/weakness in combination with signs of diminished flow (mottling, decreased peripheral pulses, etc).
- CT is imaging modality of choice, but US is a rapid bedside assessment you can use.
- Definitive treatment lies with consultation in vascular surgery for OR. Consider anticoagulation to prevent propagation of clot."