Concluded Case

Hemodialysis

A patient of CKD , 3RD hemodialysis. Presentation. Kindly give your valuable opinion friends.

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These are patches of echymosis As it is a c/o CKD and on hemodialysis hence extravasetion of blood in subcutaneous tissues give rise echymosis or hematoma These pts are usually on anticoagulants as well hence increse INR is cause of bleeds Again if pt has not undergone AV fistula than every time procedural intracath insertions do result in extravasetion and Nothing to worry These patches resolves and heals in due course of time Cold compressions Hridunoid oint locally is sufficient

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These are patches of echymosis As it is a c/o CKD and on hemodialysis hence extravasetion of blood in subcutaneous tissues give rise echymosis or hematoma These pts are usually on anticoagulants as well hence increse INR is cause of bleeds Again if pt has not undergone AV fistula than every time procedural intracath insertions do result in extravasetion and Nothing to worry These patches resolves and heals in due course of time Cold compressions Hridunoid oint locally is sufficient

Happy to have your response sir. Pt is on fistula already.
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Echymosis Thrombophlebitis R/O bleeding disorder

Thank you doctor
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Ecchymosis Because of ? Coagulation disorder ? Liver disease ? Secondary to heparin used during hemodialysis

Thank you doctor
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? VASCULOPATHY .. ? BRUISING .. ? ECHYMOSIS ..

Thank you doctor
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Vasculopathy..? Ecchymoses..? Thrombophlebitis..?

Thanks doctor
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Obviously it is THROMBOPHLEBITIS

Thanks Dr. Amitabh Dasgupta
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Lime juice Coriander leaves fudina currypatta lemongrass decoction ginger garlic little onions...low salt... purple cabbage cabbage juice cauliflower broccoli salad... alkaline diet.. cold pressed coconut oil massage and in naval..under strict supervision of Doctor

Looks like Thrombophlebitis

Thrombophlebitis...

Echymosis Rule out any coagulopathy Do CBC,PT/INR

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