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Diagnose on Sight: Swollen Leg

2016-12-22T18:13:01+00:00

Phlegmasia Cerulea Dolens_1 editedCase: A 58 year-old female presents with a one-day history of worsening right lower extremity pain and swelling, and an acute onset of dyspnea. Her past medical history consists of stage IV renal cell carcinoma diagnosed six months previously. Triage vitals are remarkable for a heart rate of 120 beats per minute and a blood pressure of 68/48 mmHg. What is the diagnosis?

 

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Master Clinician Bedside Pearls

Mark Reardon, MD FRCP  
Assistant Professor of Emergency Medicine
University of Ottawa

1.
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2.
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3.
Onuoha C. Phlegmasia Cerulea Dolens: A Rare Clinical Presentation. Am J Med. 2015;128(9):e27-8. [PubMed]
4.
Kearon C, Akl E, Comerota A, et al. Antithrombotic therapy for VTE disease: Antithrombotic Therapy and Prevention of Thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest. 2012;141(2 Suppl):e419S-94S. [PubMed]
Peter Reardon, MD

Peter Reardon, MD

Emergency Medicine Resident
University of Ottawa
Peter Reardon, MD

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