[39F] With sudden onset of unilateral ankle swelling

Patient Description

A 39-year-old female presents with sudden onset of left ankle swelling persisting for several weeks. The swelling is characterized by pitting edema, as pressing on the area leaves an indentation. The patient has a history of heart disease diagnosed at age 15. She reports a slight increase in chest pain and shortness of breath but no other associated symptoms such as redness, warmth, or pain in the affected ankle. The patient is not currently on any medications and has no known drug allergies.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Deep Vein Thrombosis (DVT): This is a blood clot in a deep vein, often in your leg. It can cause swelling, but it's usually accompanied by pain and redness.

    • Treatment typically involves medications to thin your blood and prevent the clot from getting bigger.
  • Heart Failure: Given your history of heart disease, heart failure is a possibility. This condition occurs when your heart doesn't pump blood as well as it should, and it can cause swelling in your legs and ankles.

    • Treatment usually involves a combination of lifestyle changes and medications to help your heart pump more efficiently.
  • Kidney Disease: Your kidneys remove waste and extra fluid from your body. If they aren't working properly, that fluid can build up and cause swelling in your ankles.

    • Treatment depends on the underlying cause of the kidney disease, but it often involves medications and dietary changes.

What you can do

You should seek medical attention as soon as possible, as these conditions can be serious. In the meantime, try to keep your leg elevated and avoid standing for long periods of time.

What you should look out for

If you notice any of the following, you should seek medical attention immediately:

  • Increased swelling
  • Pain in your leg
  • Chest pain or discomfort
  • Difficulty breathing

Remember, I'm an AI and this advice is based on the information you've given me. It's always important to consult with a healthcare professional for an accurate diagnosis.

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1 yr ago

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People Also Ask


What causes pitting edema in the ankle?

Pitting edema occurs when excess fluid builds up in the tissues, and pressing on the swollen area leaves an indentation. It can be caused by various conditions, including heart failure, kidney disease, and venous insufficiency.


How is heart failure related to ankle swelling?

Heart failure can lead to ankle swelling because the heart is not pumping blood effectively, causing fluid to accumulate in the legs and ankles. This is often due to increased pressure in the veins and capillaries.


What are the symptoms of deep vein thrombosis (DVT)?

Symptoms of deep vein thrombosis (DVT) include swelling, pain, and redness in the affected leg, often accompanied by warmth. It is important to seek medical attention if DVT is suspected, as it can lead to serious complications.


How can kidney disease lead to swelling in the ankles?

Kidney disease can cause swelling in the ankles because the kidneys are responsible for removing excess fluid from the body. When they are not functioning properly, fluid can accumulate, leading to edema.


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