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Heart Disease  (Expert Forum)
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Diagnosing a blood clot
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Diagnosing a blood clot

by D. Fialkow, Aug 19, 1999 12:00AM
Hi.  A few months back I injured my leg in a pretty bad fall.  During my treatment, the subject has come up as to whether or not I may have developed a blood clot in the leg as a result.  There was a slight bruise at the time it happened that soon disappeared, but in the time since I have experienced off and on pain in both the upper leg where I landed and in the lower leg.  There was some intial numbness which has since abated, attributed to a pinched nerve.  The physical therapist who I have been working with has expressed repeated concern that I may have a clot in the leg.  I went to my doctor, who checked the pulses in my feet and pelvic area and decided that there was no danger of a clot.  Just for my own edification, would I be experiencing other symptoms if there was a clot and is it so simple to check for it as my doctor did?  I otherwise feel fine.

by CCF CARDIO MD JMF, Aug 19, 1999 12:00AM
Dear D.



It is often difficult to determine whether people have venous clots in their legs.  This is best determined by the performance of a Homans test inwhich your leg is pressed behind the calf with your foot flexed.  This test may be negative and the easiest test to determine one way or another is a doppler ultrasound study of your lower extremity.  



Arterial clots present with leg pain, with exertion and cooler temperature in the affected limb.  A pulse will check arterial clots but will not rule out the presence of venous clots.  





I hope this has been useful. I wish you the best of luck. Feel free to write back.



     Information provided here is for general purposes only. Specific questions should be addressed to your own

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     address your cardiac problem.

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