Question 34 · LEK · Deep vein thrombosis
A 29-year-old patient after an gynecological surgical operation complains of a calf pain lasting for 2 days accompanied by edema that appeared 24 hours later. The physical examination reveals no redness nor pain over the veins but the Homans’ sign is positive (the pain increasing on a forced dorsiflexion of the foot). The most probable diagnosis is:
- A. superficial thrombophlebitis.
- B. deep venous thrombosis.
- C. thromboangiitis.
- D. arteriosclerosis obliterans.
- E. thromboangiitis obliterans.
Hint
Combine the postoperative setting, unilateral calf oedema and pain on dorsiflexion with the absence of superficial inflammatory signs.
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