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Heave they done ultrasound exams of the swollen leg to look for bllod clots?
Have they done a CT or MRI exam of the upper leg and pelvis to rule out a blood clot in that area or anything that might obstrucy lymph flow (a mass of some sort)?
they have done ultrasound of the foot and legs and they found nothing.
no they have not done a ct or mri. they said they he had a strong pulse in his foot so they were not concerned about circulation
That doesn't satisfy me, then again, I'm not seeing him and do not have the benefit of looking at his chart.
A high blood clot would not affect pulses in the foot
So I think a pelvic CT with contrast to rule out a clot in the proximal femoral vein or illiac vein is indicated.
Unilateral (one sided) leg swelling is theoretically due to poor heart function, but the odds are that the problem is on the same side, and they have only looked low in the leg.
an ultrasound can miss a high, deep-thigh clot and can miss pelvic clot.
also, they have not looked to see if there is something else (a mass) interfering with blood and lymph return from the leg.
That's what I would want next.
ok. and the same stands for the fact that its mainly his foot swollen not really the leg well maybe slightly
yes, still the same answer.
looks like they ruled out gout with the fluid from the joint
that's good and appropriate
and the ultrasound was the proper first study to order
yes they did rule out gout and any kind of infection also
an MRI or CT would add lots of info
so so far they have proceeded appropriately, but you are right that something is wrong and they need to run this down.
thank you so much, I am so worried about this because the doctors dont seem to be but somethings just not right this is not normal
I agree with you.
one last question
If a vascular surgeon has not been added to the consulting team I might suggest this.
do you think it is just a side effect of his stroke? Thats was one doctors opinion
and the stroke was march 29 2010
doubtful, though possible, and I would not hang my hat on this until more testing, and, perhaps, a vascular surgeon, rules out other possible causes.
HERE IS A LIST OF POSSIBLE CAUSES
ok. thank you.
It's a long and complicated list, but notice that diseases in the pelvis can cause this, and they haven't looked there.
you are welcome
do you have anything further for me?
no we are going to his primary doctor today hopefully he will order these tests for him
Great. I wouldn't be shy about asking about problems higher up in the thigh or pelvis and would not be shy about asking for a vascular surgery consult.
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