At 4am? What planet are you living on? In my department, he might be lucky
to get some NSAIDs for thrombophlebitis and get booted out swiftly
thereafter. Of course, no doubt Rowley will regale us with the dramatic
outcome of all this, but in the real world such patients don't arrive with
"interesting case discussion" labels on their foreheads.
Mind you, this sounds like precisely the sort of case where I couldn't
possibly comment without laying hands on the patient...but it still sounds
like phlebitis rather than necrotising fasciitis.
AF
----- Original Message -----
From: "Ayan Sen" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, May 28, 2006 1:40 AM
Subject: Re: A sore leg
>I would send urgent FBC,U&E,CK, urine analysis with myoglobin...and
>organise an x-ray AP pelvis and femur and an ultra-sound scan of thigh and
>leg.
> Possiblities:saphenous vein thrombophlebitis with deep vein thrombosis, a
> localised abscess,x-ray to rule out trauma(if he thinks he banged his leg
> and is walking with difficulty,it would be prudent) and having recently
> seen rhabdomyolysis in a similar alcoholic,the U/E and CK.
>
> Ayan
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