[40F] With constant leg pain and unexplained bruising

Patient Description

A 40-year-old female reports experiencing constant, crippling pain in both legs from the knees down, persisting for two months. The pain is not influenced by movement or activities and does not respond to any alleviating factors. Additionally, a bruise with a purple edge and reddish center accompanied by dark streaks has appeared on the back of one leg without any preceding injury. The patient has a medical history of liver issues diagnosed in 2020 and experiences hives as an adverse reaction to Tramadol. She is not currently on any medications.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Peripheral Artery Disease (PAD): This condition is caused by a buildup of fatty deposits in the arteries that supply your legs, leading to reduced blood flow. PAD can cause pain in your legs, especially when walking. However, in severe cases, the pain can be constant and even occur at rest. PAD is more common in people over 50, but can occur in younger individuals, especially if they have certain risk factors like diabetes, smoking, or high blood pressure.

    • Diagnosis usually involves a physical examination, blood tests, and imaging tests. Treatment can involve lifestyle changes, medications, and in severe cases, surgery.
  • Deep Vein Thrombosis (DVT): This condition involves a blood clot in one of the deep veins of your leg. DVT can cause pain, swelling, and a warm sensation in the affected leg. In some cases, a bruise may appear. DVT can be serious because the clot can break off and travel to the lungs, causing a pulmonary embolism.

    • Diagnosis usually involves a physical examination, blood tests, and an ultrasound of the leg. Treatment usually involves anticoagulant medications.
  • Peripheral Neuropathy: This condition involves damage to the nerves in your legs and can cause constant pain. It is often associated with conditions like diabetes, but can also be caused by certain medications, infections, and other conditions.

    • Diagnosis usually involves a physical examination, blood tests, and nerve function tests. Treatment usually involves managing the underlying condition and medications to control symptoms.

Please note that this is not an exhaustive list and other conditions could also explain your symptoms.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention as soon as possible. A healthcare professional can evaluate your symptoms, perform necessary tests, and provide appropriate treatment.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

  • Sudden or severe pain in your leg
  • Leg swelling
  • Warmth or redness over a tender area of your leg
  • Shortness of breath or chest pain

Please remember that while I strive to provide accurate information, I'm an AI and not a substitute for professional medical advice. Always consult with a healthcare professional for accurate information.

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1 yr ago

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People Also Ask


What are the common symptoms of Peripheral Artery Disease (PAD)?

Common symptoms of Peripheral Artery Disease (PAD) include leg pain or cramping during physical activities like walking, which typically eases with rest. In severe cases, the pain can be constant and occur even at rest. Other symptoms may include leg weakness, numbness, coldness in the lower leg or foot, and sores or wounds on the toes, feet, or legs that heal slowly.


How is Deep Vein Thrombosis (DVT) diagnosed and treated?

Deep Vein Thrombosis (DVT) is typically diagnosed through a combination of a physical examination, blood tests, and an ultrasound of the leg to detect blood clots. Treatment usually involves anticoagulant medications to prevent the clot from growing and to reduce the risk of it breaking off and causing a pulmonary embolism. In some cases, compression stockings or other interventions may be recommended.


What are the potential causes of peripheral neuropathy?

Peripheral neuropathy can be caused by a variety of factors, including diabetes, certain medications, infections, traumatic injuries, and exposure to toxins. It can also be associated with conditions like autoimmune diseases, kidney disorders, and vitamin deficiencies. Identifying and managing the underlying cause is crucial for treatment.


What should I do if I experience sudden or severe leg pain?

If you experience sudden or severe leg pain, it is important to seek immediate medical attention. This could be a sign of a serious condition such as a blood clot or other vascular issues. Prompt evaluation and treatment by a healthcare professional are essential to prevent complications.


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