Hi all,
Members do not see these Ads. Sign Up.
I would really appreciate some suggestions regarding a young female patient seen 2 months ago.
13 year old female c/o a painful swollen L/ankle 6/7 months duration which is not swollen in the morning. Her left ankle seems to swell and get painful as the day progresses while she is up and active. she reports no previous trauma of any kind.
No med hx and no medication, pt has no allergies
vascular test - b/pedal pulses palp, capillary refil time WNL, no sign of any other oedema
neurological test- WNL
physical exam - whilst pt leg hangs freely off the examination bench the swelling is visible behind L/medial malleoli, this swelling is also painful to palpate.
buerger's test reduces the swelling along with the pain.
other examinations - the patient was under an orthopaedic surgeon who requested 2 MRI scans (1 with contrast i believe) with no abnormality present. she has no been discharged to 'see how it goes'.
My theory is that this may be some kind of circulatory issue possibly an angioma of some kind, but other than this i'm at a bit of a loss. I told the pt to use a compressive ankle strapping which she reported last week wasn't helping.
i would appreciate your suggestions to help her frustrated mother.
kind regards
s
Loading...
- Similar Threads - old female unilateral
-
- Replies:
- 7
- Views:
- 7,565
-
- Replies:
- 14
- Views:
- 13,535
-
- Replies:
- 16
- Views:
- 10,680
-
- Replies:
- 9
- Views:
- 10,541
-
- Replies:
- 2
- Views:
- 804
-
- Replies:
- 1
- Views:
- 751
-
- Replies:
- 0
- Views:
- 861