Cc: right leg swelling
Diagnosis :
DVT
Differential diagnosis:
Baker’s cyst
Cellulitis
Knee Trauma
Joint problem
Examination:
Calf swelling ( use tape measure , mark 10 cm below tibial tuberosity ), positive if > 3 cm difference
Look for superficial venous engorgement & pitting edema
Check peripheral pulses
What will you do ?
D. Dimer
Do U/S doppler leg
Management of DVT:
Anticoagulation : 3 month if provoke , 6 months if unprovoked, lifelong if high risk or recurrent
Compression stockings
Complications of DVT: Pulmonary embolism
• Ask for sob or chest pain
• Use Wells score
Options for cellulitis:
Clindamycin
Ceftriaxone (Rocephin )
Trimethoprim-sulfamethoxazole ( septrin )
Vancomycin or Linozolid
Penicillin
Cefazolin
