Edema and pulmonary embolism advice dr wise s I nurse ...
C3/4 incomplete walking quad. Diagnosed and Hospitalized for treatment of pulmonary embolism. One week ago. Had blood clot in right leg immediately after injury 8 yrs ago. Now has one in left leg, stomach and lungs. Small in lungs and stomach. Home 1 day and fell but ok. now I'm taking care of him. He is on coumadin was not before this incident for more than 6 years. Is he stable on his Coumadin dosage already? We do not allow compression hose, or ROM or walking with a DVT until the Coumadin dosage is stablized, which can take several weeks or longer. After that, a low to moderate compression stocking is OK, as long as you can get them on (and have the right size which may be different now) without undue rubbing or massaging of the fleshy part of the leg. He is at risk for the development of phlebotic syndrome with chronic severe edema and risks for venous leg ulcers. Is he on any new meds? Has he had a recent hospitalization or injury to his legs or pelvis? Been more sedentary or on bedrest? Been on a long plane or car ride? While it is most common for DVT and PE to occur in the first 2 years post injury (esp. in the first 3 months), people with SCI are at risk for this (more so than ABs) forever. With a second DVT like this, it is likely that they will recommend that he now stay on Coumadin for the rest of his life. It will be critical to do everything possible to avoid falls and injuries as this can lead to serious bleeding, esp. from any blows to the head. You should discuss this with his primary care physician, and if possible, a SCI board certified physician as well. He lives alone in the desert. I picked him up since he seemed unable to be on his own and brought him to my house. 3 hour car ride. He is moving around a little bit, getting some strength back. He was very weakened and depressed by the whole ordeal. I'm concerned about the falling cuz he does it with some frequency. I guess there are always trade offs, pulmonary embolism vs subdural hematoma.
Swelling In One Leg - Bookshelf
In Cold Blood
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LEG SWELLING
Swelling can occur as a result of gravity, especially from sitting or standing in one place for too long. Water naturally gets pulled down into your legs and feet. ...
Leg swelling: Causes - MayoClinic.com
Leg swelling: Symptom — Overview covers definition, possible causes of swollen legs and ankles.
Swelling in one leg - Symptom Checker - check medical ...
Causes of Swelling in one leg, alternative diagnoses, rare causes, misdiagnoses, patient stories, and much more.
Foot, leg, and ankle swelling: MedlinePlus Medical Encyclopedia
Painless swelling may affect both legs and may include the calves or ... Because of the effect of gravity, swelling is particularly noticeable in the lower part ...
Swelling in one leg - RightDiagnosis.com
Swelling in one leg: Swelling in one leg refers to puffiness or enlargement of one leg. See free access online books about Swelling in one leg below. ...