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Family Medicine (Expert Forum)
R/O Proximal DVT
Questions in the Family Medicine forum are answered by Dr. J.M. Keyes. Topics covered include general health issues, adolescence, babies, child health, eating disorders, fitness, immunizations and vaccines, infectious diseases, medical tests and procedures, and senior health.
R/O Proximal DVT
by zasj, Jan 18, 2003 12:00AM
My husband developed a large tender swelling in the r inner thigh area after a vigirous basketball game. He is 48 years old non smoker in good shape with no real PMH. I thought maybe a hernia but it is truly more in the thigh then the groin now Iam thinking possible proximal DVT? It has been about 3 days now and it is still large and very tender I think it has increased in size. I asked him to go to the docs for a doppler study or whatever they felt was needed but he refuses. He thinks he has a fatal tumor and wants to make sure his life insurance is updated first. I asked him to start taking an asprin every day just in case so he can hopefully not throw a PE. I am looking for some other ideas of what it could be. If you think it could be something along the this area he may appreciate your view more then mine. Iam a trama ER nurse for the past 17 years. It could be just a muscle injury but it does not appear to be decreasing in size and ice did not help.
Thank You,
Tina Schock,RN
Thank You,
Tina Schock,RN
Doctor's Answer
by Forum-M.D.-DT, Jan 19, 2003 12:00AM
Thank you for visiting the family practice forum.
DVTs typically come about in people who have had a period of inactivity, surgery or illness. However, like anything else, there are exceptions to this rule. There are other possibilities of course, such as a pulled muscle, bruise or even a fatty tumor (lipoma). While he really doesn't fit the "classic" picture of what one sees with a DVT, it is a possibility. If you want my opinion, the safe way is the best way to go here. Tell your husband that while a DVT is not "likely", it is something that needs to be ruled out with an ultrasound. Cancer is extraordinarily unlikely. For one, cancerous tumors such as this would not just "show up" overnight. Muscle strain and/or a bruise (which is just a collection of blood under the skin following injury to a small vessel) is the most likely diagnosis here.
Have this looked at by his doctor.
DVTs typically come about in people who have had a period of inactivity, surgery or illness. However, like anything else, there are exceptions to this rule. There are other possibilities of course, such as a pulled muscle, bruise or even a fatty tumor (lipoma). While he really doesn't fit the "classic" picture of what one sees with a DVT, it is a possibility. If you want my opinion, the safe way is the best way to go here. Tell your husband that while a DVT is not "likely", it is something that needs to be ruled out with an ultrasound. Cancer is extraordinarily unlikely. For one, cancerous tumors such as this would not just "show up" overnight. Muscle strain and/or a bruise (which is just a collection of blood under the skin following injury to a small vessel) is the most likely diagnosis here.
Have this looked at by his doctor.
