Q. Please explain the presentation of DVT.

 

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Hi doctor,

I am an 18 year old healthy female. All day today, I have had sharp pain in one tiny spot on my left hand. There is a tiny red mark that looks like a scratch, but it is not. It is not warm, but the pain is also spreading to my arm. I have also had the same type of pain in both my legs and my foot for a couple weeks now, but no veins or redness are there. I have anxiety which makes me always think the worst. I am scared that I have DVT and that any minute now I am going to drop dead. Please give some suggestions as to what this might be. Could it be something with muscles or nerves? Should I go to a hospital? Any information would help. Thank you.

 

 

Answered



Hello,

Welcome to dr.sitehome.info.

  • DVT – deep vein thrombosis classically presents as sharp, unilateral limb pain with swelling, redness and extreme pain especially if someone tries to squeeze it.
  • What you are explaining here is neuropathic pain. Your BMI is not low, but is on the lower side of the range (19-24).
  • I would be interested in checking for the following.

  • Investigations to be done:

    1. Vitamin B12 deficiency, hyperthyroidism, thiamine level and CBC (complete blood count).
    2. If the above are negative, then nerve conduction study or electromyography (EMG) of the affected hand.

  • Treatment plan:

    It would depend upon the blood work. It does not appear to be a DVT from the information provided.

  • Regarding follow up:

    Revert back with the report to an internal medicine physician online.—> https://www.dr.sitehome.info/ask-a-doctor-online/internal-medicine-physician



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