Swollen lower limb

Identification of an underlying cause, if any, guides both the treatment and the approach to secondary prevention. , Table 2 Clinical features of acute deep vein thrombosis Calf pain or tenderness or both Swelling with pitting edema Swelling below knee in distal deep vein thrombosis and up to groin...

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Bibliographic Details
Published inThe Western journal of medicine Vol. 174; no. 2; pp. 132 - 136
Main Authors Gorman, W Peter, Davis, Karl R, Donnelly, Richard
Format Journal Article
LanguageEnglish
Published San Francisco Copyright 2001 BMJ Publishing Group 01.02.2001
BMJ Publishing Group LTD
Subjects
Blood clots
Compression therapy
Congenital diseases
Edema
Embolisms
Heart attacks
Heart failure
Hormone replacement therapy
Hospitals
Illnesses
Lymphedema
Mortality
Pregnancy
Risk factors
Surgery
Thromboembolism
Thrombosis
Trauma
Ultrasonic imaging
Veins & arteries
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Summary:Identification of an underlying cause, if any, guides both the treatment and the approach to secondary prevention. , Table 2 Clinical features of acute deep vein thrombosis Calf pain or tenderness or both Swelling with pitting edema Swelling below knee in distal deep vein thrombosis and up to groin in proximal deep vein thrombosis Increased skin temperature Superficial venous dilatation Cyanosis can occur with severe obstruction Table 3 Risk factors for deep vein thrombosis Age >40 years Underlying malignancy Obesity Presence of varicose veins Personal or family history of deep vein thrombosis or pulmonary embolism Any surgical procedure lasting >30 minutes--especially orthopedic, neurologic, urologic, and gynecologic surgery Paralysis or immobility--for example, recent stroke Combined oral contraceptive pill Hormone replacement therapy Pregnancy and puerperium Serious illness--for example, heart failure, myocardial infarction, sepsis, inflammatory bowel disease Presence of hypercoagulable disorders The standard investigation is contrast venography ( figure 4 ), but this invasive procedure is painful, often technically difficult and time-consuming, and occasionally complicated by thrombosis and extravasation of contrast. [...]Thromboembolic Risk Factors (THRiFT II) Consensus Group.
Bibliography:istex:28F11D9781001F3E74B79DD17E3B7801D5C9F098
ark:/67375/NVC-33VK2R1X-0
Competing interests: None declared This article was published in BMJ 2000;320:1453-1456 as part of the series, “ABC of arterial and venous disease”Authors: Peter Gorman is consultant physician and Karl Davis is clinical research fellow, Southern Derbyshire Acute Hospitals National Health Service Trust, Derby. The ABC of arterial and venous disease is edited by Richard Donnelly, professor of vascular medicine, University of Nottingham and Southern Derbyshire Acute Hospitals National Health Service Trust (richard.donnelly@nottingham.ac.uk) and Nick J M London, professor of surgery, University of Leicester, Leicester (sms 16@leicester.ac.uk). It will be published as a book later this year.
Correspondence to: Dr Gorman, Department of Medicine, Derbyshire Royal Infirmary, London Road, Derby, DE1 2QY, England, peter.gorman@sdah-tr.trent.nhs.uk
ArticleID:1740132
ISSN:0093-0415
1476-2978