56 year old ICU patient's leg has suddenly turned blue

Dr. Patil Pratik Pramod., MD GENERAL MEDICINE, MBBS

Dr. Arvind Guru
General Surgeon

Bedside Compression USG to look for DVT in calf as well as femoral veins. DVT prophylsis or therapy as the case may be.

04.Jun, 06:58pm

Dr. Madhumati Varma
Diabetologist

DVT, is there calf tenderness?
Peripheral pulses? If absent? May peripheral some vein is blocked,
Emergency Doppler study, angiography if possible to confirm.
Bed rest. Do not stand and walk till thrombas stabilised.
IV fluids, oxigen, leg resting position with pillow.
Inj flexiparum low molecular heparin 2000 units subcutaneous daily if confirm diagnosis.
Inj heparin 5000 units s/c with control of PT.
Or IV infusion of heparin
When colour normal shift to aspirin or clopidogril and gentle movent Chang possible, start walk gradual.

10.Jun, 09:43pm

Dr. Shitla Prasad Upadhyay
Pulmonologist

Please do a color doppler then plan your treatment accordingly.

16.Jun, 11:12pm

Dr. Janrao Smit Uttam
Internal Medicine Physician

Hi, We must check for any line of demarcation of temperature over the skin of that leg, any absence of peripheral pulse. one should start LMWH as soon as possible in this case. And proceed to investigate with arterial Doppler of that leg.

26.Aug, 01:02pm