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Reply To: Case Demonstration

Home › Forums › TMCD 532 Travel Medicine II › Case Demonstration › Reply To: Case Demonstration

23/12/2021 at 19:13 น. #18548
Sajikapon Kludkleeb
Participant

Answer 1;
Signs and symptoms
– non-pitting, warm, erythematous edema at lower extremities
– darker skin on the swelling area (Phlegmasia culerae dolens in severe case, absent distal pulse)
– tender along venous tract on the swelling leg (Homan’s sign – tender along venous tract when ankle flexion)
– may develop acute rapid pulse or fainting or dyspnea of breath if there is pulmonary embolism; in this case O2 saturation is 97% – a little bit decrease for a healthy person
– D-dimer elevation
– history of recent surgery, long-haul flights, cancer may increase risk

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