Cardiovascular System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Acute lower limb swelling in pregnancy is due to deep venous thrombosis (DVT) until proven otherwise. Note that DVTs may give rise to a low grade fever, or feeling of feverishness.\n\nWhile the history of diabetes makes cellulitis a possibility, this should be considered after excluding a DVT. Note also that feverishness in a patient with cellulitis indicates systemic invasion - thus, one would typically expect to find tender inguinal lymphadenopathy.\n\nAcute arterial thrombosis is also possible (as pregnancy is a procoagulant state). However, this is excluded by the normal pulses in the affected limb.\n\nWhile trauma and a ruptured Baker\u0027s cyst are also notable causes for acute lower limb swelling, these need not be considered in the absence of a suggestive history.\n\nA lower limb Doppler scan should be arranged as soon as possible - and in this patient is suggestive of obstruction of the left popliteal and femoral veins by a thrombus, confirming the diagnosis.\n\nNote that while a negative D"}]}

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