CASE STUDY FOR LAB TEST 2
Raymond, a 50 yo pilot, was working a transatlantic flight when he noticed an uncommon stiffness and pain in his left leg. Upon rubbing the area he noticed it felt hot. He had played touch football the day before so he passed it off as soreness or a bruise. He also remembered that he had been stung by a bee during the match and that area was also red and swollen with a hard knot. As the flight progressed the pain became more and more intense and he noticed his foot swelling and there was a reddish to his skin. He also felt feverish as if he were coming down with the flu. At the end of the flight Raymond found he could only stand with difficulty and decided to see an emergency physician.
Upon examination the following was charted:
Body temp: 100.1 F
No swelling of neck or lymph nodes
No nausea or vomiting
Previous episodes were discussed:
It started about a year and half ago with slight swelling where I had broken my leg about 10 years ago and I thought it was pain from an old injury. The swelling would start at the point where I broke my leg then down to my ankle. It would last about 3 weeks and go away as fast as it came. The second time it happened was similar to the first time. The 3rd time my leg swelled and 3 weeks later it was not any better. My leg and foot swelled and I could not even wear shoes. The slightest movement or touch hurt No allergies to anything
Warmth, tenderness, swelling and redness of the lower left leg Varicose veins in the lower leg
The following tests were performed:
An ultrasound of the leg
The following drugs were administered:
Amoxicillin by mouth
Lovenox (by injection)
Heat was applied
The attending physician recommended that Raymond consult a hematologist when he returned to the US.
1. What is your diagnosis of Raymond’s condition?
2. Why did he...
Please join StudyMode to read the full document