Name: Simon Triscott
Theme: Thrombosis
OPTION LIST
|
A |
Axillary vein thrombosis |
I |
Thrombophlebitis |
|
B |
Deep
venous thrombosis |
J |
Varicose
veins |
|
C |
DIC |
K |
|
|
D |
Inferior
vena caval obstruction |
L |
|
|
E |
Postphlebitic syndrome |
M |
|
|
F |
Pulmonary
embolism |
N |
|
|
G |
Superior
vena caval obstruction |
O |
|
|
H |
Superficial
venous thrombosis |
P |
|
For each scenario below, choose the
most appropriate answer from the list above. Each option may be used once, more
than once or not at all.
1. A fit
48-year-old investment banker presents to A&E with a painful R arm that was
present when he woke up that morning. He is otherwise well and there is no
history of trauma or abnormalities of any system. On examination there is
marked tenderness and mild erythema along the anterolateral
aspect of the forearm and cubital fossa,
with no abnormality of the upper arm or axilla.
2. A
45-year-old lady, known heavy smoker with chronic respiratory problems,
presents to her GP with increasing dyspnoea and swelling of her R arm and face.
On examination of her chest there is no asymmetry or tracheal deviation, but
there are added sounds over the R upper lobe and on bending forward her face
becomes congested.
3. A
56-year-old woman returns to the Vascular Clinic with recurrence of her L leg
ulcer after the area has been knocked by a shopping trolley. On examination the
ulcer is situated above the medial malleolus, its
dimensions being 6cm x 5cm. The base is filled with yellowish slough and the
surrounding area is erythematous, with prominent oedema.
4. A 48-year-old
man develops R-sided pleuritic chest pain and coughs
up a trace of bloodstained sputum 8 days after a R hemicolectomy. He has mild dyspnoea but chest examination
and chest radiography are normal.
5. A
32-year-old lady develops acute swelling of her L leg 2 days post-partum. She
had bilateral leg swelling during the pregnancy but the delivery was normal. On
examination there is tense swelling of the leg and thigh and some deep
tenderness over the calf and medial aspect of the thigh.
ANSWERS
|
1. H |
2. G |
3. E |
4. F |
5. B |