Patients of Thrombophilia
- Patient Serial No - 1
- Patient Serial No - 1
Age:
40
Sex:
male
Clinical Features:
swelling and aching pain of the left lower limb extending from the left thigh to the ankle over one week. The left lower limb with dusky blue discoloration of skin was diffusely swollen, warm, and exquisitely tender to touch. Arterial pulses in the legs were palpable
Biochemical Data:
pulse- 80 beats per minute
Age:
40
Sex:
male
Clinical Features:
swelling and aching pain of the left lower limb extending from the left thigh to the ankle over one week. The left lower limb with dusky blue discoloration of skin was diffusely swollen, warm, and exquisitely tender to touch. Arterial pulses in the legs were palpable
Biochemical Data:
pulse- 80 beats per minute, blood pressure -140/85 mm Hg, Blood sugar, renal and liver function tests, serum electrolytes and calcium were normal
treatement and management:
Initial heparin therapy was followed by warfarin, The patient was prescribed an oral anticoagulant, A duplex study of the lower limb vessels showed acute DVT involving the left femoropopliteal segment, CT angiography revealed normal pulmonary arteries,
Remarks:
protein C activity- 58% (normal range: 70-140%), protein S- 17% (normal range: 54-137%), Platelet count, bleeding time, clotting time and prothrombin time (PT) were normal,