64-year-old lady with swollen calf

A 64-year-old female was presented with a swollen calf and unable to walk for 2 days. Her complaints started suddenly when sitting for a rest after walking 5 km distance. There was no antecedent trauma. Her medical history revealed bilaterally knee osteoarthritis, and she was using oral anti-inflammatory medications irregularly.

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OA. Its degenerative joint disease. type of arthritis that occurs when flexible tissue at the ends of bones wears down. The wearing down of the protective tissue at the ends of bones (cartilage) occurs gradually and worsens over time. Secondary osteoarthritis is caused by another disease or condition. Conditions that can lead to secondary osteoarthritis include obesity, repeated trauma or surgery to the joint structures, abnormal joints at birth (congenital abnormalities), gout, rheumatoid arthritis, diabetes, and other hormone disorders

OA knees with DVT Colour doppler study of vascular system of both lower legs USG of both knees Vit D3, Calcium levels, TSH, FSH Treat at present with Calcium Vit D3 60k weekly Cap Rejoint bd Tab Gemfos 35mg weekly Tab Ecosprin 75 mg hs Consult with Vascular Surgeon

rejoint od for how many days
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Osteoarthritis knees with * DVT Needs further investigation and evaluation to conclude till reports complied Analgesic + muscle relaxant orally Multivitamin and antioxidants orally. Calcirol D3 sachet EOD Muscle relaxant after hot saline water compression. Complete bed rest and use support during movement.

Thanks Dr Sanjoy Sarkar
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Xray knee shows OA GR 2 SUDDEN development of swelling in calf muscles needs to workout muscle spasm or strain sos rupture Could be dvt Colour doppler study to r/o dvt Usg to see muscle injury

Thanx dr Ashok Leel
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?? Pseudothrombophlebitis syndrome ?? Compartment syndrome ???? Osteoarthritis. R/0 Backer's cyst Rupture.

Tnx "Dr.Sanjoy Sarkar Sir"
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OA KNEE joints ? Vascular insufficiency ? Claudication pain after stress Needs MRI of knee , arterial colour Doppler of the limbs NSAIDS suggested for immediate relief

Thank you, Doctor
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B/L OA OF KNEES WITH DVT COLOUR DOPPLER STUDY MRI BOTH KNEES LFT,RFT,TFT, RULE OUT DIABETES IF ALL ARE WNL THEN INJ STEROID INTRARTICULR...IF NOT IMPROVED GO FOR TOTAL KNEE REPLACEMENT SURGERY

Was there any pre-existing swelling behind the knee?a Baker's cyst can rupture and present similarly.

Calf muscles spasm

SUGGESTIVE OF BILATERAL OSTEOARTHRITIS...KNEE WITH BAKER'S.. CYST

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