Monday, January 26, 2009

Danny +1... Death 0

So here is a little differential diagnosis quiz for you.

Patient Hx:
2 weeks status post knee scope
Complains of calf pain, does not go away in a week but is no worse
Only gets calf pain with walking, no pain in a dependent position, no pain with resisted DF/PF, skin does not feel warm to touch, no redness, homans sign negative, pain feels like it is deep, stretching doesn't make it better.

What do you do?

Outcome: We sent her to the ER on friday last week to get a dopplar done, turns out she has 3 blood clots, 2 in her calf and 1 in her lung. Pretty crazy!

No comments: