Venous thrombosis
Deep vein thrombosis, or DVT, is a blood clot that forms in a vein deep in the body. Most deep vein clots occur in the lower leg or thigh. If the vein swells, the condition is called thrombophlebitis. A deep vein thrombosis can break loose and cause a serious problem in the lung, called a pulmonary embolism.Sitting still for a long time can make you more likely to get a DVT. Some medicines and disorders that increase your risk for blood clots can also lead to DVTs. Common symptoms are Warmth and tenderness over the vein Pain or swelling in the part of the body affected Skin redness Treatment includes medicines to ease pain and inflammation, break up clots and keep new clots from forming. Keeping the affected area raised and applying moist heat can also help. If you are taking a long car or plane trip, take a break, walk or stretch your legs and drink plenty of liquids.
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Most important in this patient is a neurological examination. Any patient with head ache needs an optic fundi examination. However NRV is suggestive of SSS with TS thrombosis. Needs complete investigations, blood work up including vasculit...
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The colour change is due venous stasis May be due to thrombus present in lower limb. I will suggest to repeat the colour doppler to see whether there is imcopetency of superficial, perforation or any incompetency of sapheno femoral junctio...
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Nice case
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Dr. Nirmal Shah0 Like1 AnswerA female 36 years, gravida 3 para 2 comes with complaints of headache, loss of sight and is in labour with poor cervical dilatation progress. on admission, the BP is 178/102 with no history of convulsions and magnesium sulphate is given. A LSCS is performed under spinal anesthesia with BP stabilised. she is transferred to ICU for post operative management with BP continuing to increase . After 5 days, a feedback is given that the patient is discharged and gained her sight. What caused the loss of sight?
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