What is your diagnosis???
An 81-year-old man with hypertension presented with pain and swelling of the left thigh and lower leg that had developed during the previous several hours. He had no history of recent surgery or trauma and no known personal or family history of clotting disorders. The left lower leg was tender, cold, and swollen, and the dorsalis pedis pulse was not palpable. What is the diagnosis? a) Polycythemia vera b) Generalized essential telangiectasia c) Phlegmasia cerulea dolens d) Rhabdomyolysis e) Cellulitis Source: nejm.org
C --- Phlegmasia cerulean dolens is a severe form of deep venous thrombosis characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated.1
Dont we consider the pt family history of clotting.. just asking.?!
