Diagnose on Sight: Swollen Upper Extremity in a Patient with End Stage Renal Disease

AV fistula pseudoaneurysmCase: A 45 year old female with end-stage renal disease presents with 2 days of worsening pain, swelling, and color change of her left upper extremity.  The symptoms began after her left arm arteriovenous (AV) fistula was accessed for hemodialysis. The skin is tense and a bruit is present. What is your diagnosis for this swollen upper extremity? Click on the image for a larger view.

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By |2016-12-22T20:07:29-08:00Sep 2, 2014|Cardiovascular, Diagnose on Sight, Ultrasound|
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