[37F] With sharp knee pain and swelling
Patient Description
A 37-year-old female has been experiencing sharp pain at the back of her knee for the past three weeks, rated as 8 out of 10 in severity. The pain worsens with bending, walking, and applying pressure. The patient reports sudden onset of swelling in the knee, calf, and ankle, which feels tight. She is unable to fully bend her knee. There are no changes in skin color, warmth, shortness of breath, chest pain, unexplained weight changes, or changes in the size of veins. The patient has no history of blood clots, varicose veins, or vascular issues, does not smoke, has not traveled long distances recently, and is not taking any medications or supplements. She has no pre-existing conditions or chronic illnesses.
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Arora's Assessment
What might be happening
Based on the information you’ve provided, there are a few serious conditions that could be causing your symptoms:
- Deep Vein Thrombosis (DVT): This is a blood clot that forms in a deep vein, usually in the legs. Symptoms can include swelling, pain, and tightness in the leg. DVT is a serious condition because the clot can travel to the lungs, causing a pulmonary embolism, which can be life-threatening.
- Baker's Cyst: This is a fluid-filled cyst that causes a bulge and a feeling of tightness behind your knee. The pain can get worse when you fully extend your knee or when you're active.
- Knee Injury or Ligament Tear: Even without a noticeable injury, repetitive strain or minor trauma can lead to ligament tears or other knee injuries, causing pain and swelling.
- Infection: Though less common, an infection in the knee joint or surrounding tissues can cause pain, swelling, and difficulty moving the knee.
What you can do
Given the severity and duration of your symptoms, it is crucial to seek medical attention immediately. Here are some steps you can take:
- Seek Immediate Medical Attention: Visit an emergency room or urgent care center as soon as possible. If you are unable to get there yourself, call an ambulance or have someone drive you.
- Avoid Physical Activity: Until you receive medical advice, try to keep weight off your affected leg to avoid worsening the condition.
- Elevate Your Leg: While waiting for medical help, keep your leg elevated to help reduce swelling.
- Do Not Ignore Symptoms: If you experience any new symptoms such as shortness of breath, chest pain, or increased swelling, call 911 immediately.
Please remember, I am not a doctor. It is essential to get a formal diagnosis and appropriate treatment from a healthcare professional. Your symptoms could indicate a serious condition that requires prompt medical attention.
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4 mo ago