Thomas G. DeLoughery, MD, FACP, FAWM

Oregon Health Sciences University, Portland, OR

This case was reviewed and updated in October 2012 by Dr. Alvin H. Schmaier and members of the Teaching Cases Subcommittee.

Copyright of the American Society of Hematology, 2006. ISSN: 1931-6860.


Vital signs are normal. ENT exam, pulmonary, cardiovascular, and abdomen exam are normal. Extremity exam shows a normal right leg, but her left leg is larger than her right and shows 2+ edema. Its coloration is slightly dusky and the leg is painful on palpation. The patient has localized calf tenderness and swelling of more than 3 cm in circumference compared to the asymptomatic leg when measured 10 cm down from the tibial tuberosity.

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