Pseudothrombophlebitis syndrome is a clinical condition where there are signs and symptoms of phlebitis in the absence of a thrombophlebitis lesion. Symptoms include pain, swelling, erythema and tenderness evolving over hours or days. It may also occur as an orthopaedic surgical complication, secondary to trauma or as a presentation of septic arthritis. It is crucial to differentiate this condition from deep vein thrombosis as the treatment for DVT can Thrombophlebitis Traum adverse effects see more patients with pseudothrombophlebitis.
The symptoms of pseudothrombophlebitis include Thrombophlebitis Traum, swelling, Thrombophlebitis Traum and tenderness. It most commonly, but not exclusively, affects the legs.
The Thrombophlebitis Traum of a popliteal cyst makes this diagnosis more likely. However, the presence of a popliteal cyst does not rule out deep vein thrombosis Thrombophlebitis Traum warrants further investigation.
Pseudothrombophlebitis and deep vein thrombosis are not mutually exclusive conditions, Thrombophlebitis Traum in rare instances may co-occur. Pseudothrombophlebitis is clinically indistinguishable from a true thrombophlebitis such as deep vein thrombosis; the symptoms and history are similar and these conditions cannot be distinguished by clinical Thrombophlebitis Traum without radiological or arthroscopic imaging.
It is visit web page however to differentiate pseudothrombophlebitis from DVT as the thrombolytic Thrombophlebitis Traum anticoagulant treatments usually administered in DVT are not effective in treating pseudothrombophlebitis, and may have adverse effects exacerbating the condition.
Commonly, pseudothrombophlebitis is caused by rupture of a popliteal cyst causing leakage of synovial fluid, leading to inflammatory irritation to the gastrocnemius muscle.
Pseudothrombophlebitis is not the only possible Thrombophlebitis Traum of a popliteal cyst. The existence of a large popliteal cyst can be a risk factor for deep vein thrombosis. Furthermore, a ruptured popliteal cyst may cause compartment syndrome in the calf or even the thigh.
Where pseudothrombophlebitis and thrombophlebitis present as differential diagnoses, DVT is excluded by the Thrombophlebitis Traum of a deep vein thrombosisand the presence of a popliteal cyst is suggestive of pseudothrombophlebitis. The differentiation requires the use of radiological or arthroscopic imaging modalities. In this condition, imaging modalities often indicated include the use of Doppler Thrombophlebitis Traum non-Doppler ultrasoundarthrographyvenography magnetic resonance imaging MRI and computerised axial tomography CAT scan.
Ultrasound modalities in general are useful for the detection of a ruptured or dissecting popliteal cysts, while Doppler ultrasound has the additional benefit of detecting learn more here stenosis such as that caused by deep vein thrombosis.
Arthrography and venography using imaging dyes Thrombophlebitis Traum for the detection of popliteal cysts and the exclusion of thrombotic lesions but are invasive procedures.
Magnetic resonance imaging and computerised axial tomography scans allow for the detection of a ruptured or dissected popliteal cyst and, if in the same plane as the scan, the Thrombophlebitis Traum of a deep vein thrombosis.
Once diagnosed, and after deep vein thrombosis other disease masquerades have been excluded, the treatment for pseudothrombophlebitis is supportive. From Wikipedia, the free encyclopedia.