[51F] With severe calf and foot pain, swelling, and shortness of breath
Patient Description
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Arora's Assessment
What might be happening
Based on the information you’ve provided, there are several serious conditions that could be causing your symptoms:
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Deep Vein Thrombosis (DVT): This is a condition where a blood clot forms in a deep vein, usually in the legs. Symptoms include swelling, pain, redness, and warmth in the affected leg. Given that one leg is more swollen than the other and you have shortness of breath, this could be a sign of a blood clot that has traveled to your lungs, which is a medical emergency.
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Peripheral Artery Disease (PAD): This condition occurs when the arteries that supply blood to your limbs become narrowed or blocked. Symptoms include leg pain, especially when walking, and swelling. Smoking is a significant risk factor for PAD.
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Chronic Venous Insufficiency: This occurs when the veins in your legs are not working effectively, making it difficult for blood to return to the heart. This can cause swelling, pain, and skin changes.
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Lymphedema: This is swelling that generally occurs in one of your arms or legs due to a blockage in your lymphatic system. It can cause swelling, pain, and changes in skin color.
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Complications from Lupus: Discoid lupus primarily affects the skin, but systemic lupus can affect your blood vessels and lead to similar symptoms.
What you can do
Given the severity and duration of your symptoms, it is crucial to seek immediate medical attention. Here are the steps you should take:
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Go to the Emergency Room: Given the possibility of a blood clot and your shortness of breath, you should go to the emergency room immediately. If you are alone or unable to get there yourself, call 911 for an ambulance.
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Avoid Walking or Standing for Long Periods: Until you receive medical attention, try to keep your legs elevated when sitting or lying down to reduce swelling.
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Do Not Ignore Symptoms: If you experience worsening pain, increased swelling, or any new symptoms like chest pain or severe shortness of breath, seek emergency medical care immediately.
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Inform Medical Staff About Your History: Make sure to inform the medical staff about your history of Discoid lupus, smoking, and previous methamphetamine use, as these can all be relevant to your condition.
Remember, I am not a doctor, and this advice is based on the information you have provided. It is essential to seek care from real health professionals to receive a formal diagnosis and appropriate treatment.
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7 mo ago