What is Phlegmasia Cerulea Dolens discuss the clinical features?
Discussion. Phlegmasia cerulea dolens is a rare syndrome defined as a clinical triad of acute limb swelling, ischemic pain, and cyanosis. The pathogenesis begins with massive thrombosis causing total or near-total venous occlusion.
What is the management of thrombosis?
Patients with a DVT may need to be treated in the hospital. Others may be able to have outpatient treatment. Treatments include medications, compression stockings and elevating the affected leg. If the blood clot is extensive, you may need more invasive testing and treatment.
What does Phlegmasia mean?
Phlegmasia stems from a Greek term (phlegma) meaning inflammation. It has been used in the medical literature in reference to extreme cases of lower-extremity deep venous thrombosis (DVT) that cause critical limb ischemia and possible limb loss. Its rarity notwithstanding, phlegmasia is a life-threatening condition.
What is called Moses symptom?
Differential diagnosis. deep vein thrombosis. Bancroft’s sign, also known as Moses’ sign, is a clinical sign found in patients with deep vein thrombosis of the lower leg involving the posterior tibial veins.
What does Phlegmasia alba dolens mean for women?
Phlegmasia alba dolens (PAD) describes the patient with swollen and white leg because of early compromise of arterial flow secondary to extensive DVT. This condition is also known as “milk leg,” especially as it affects women in the third trimester of pregnancy or post partum.
What is the treatment for phlegmasia cerulea dolens?
The initiation of anticoagulation for deep venous thrombosis is standard and routine care. The management of phlegmasia alba dolens and mild cases of phlegmasia cerulea dolens includes initiation of heparin infusion, warfarin bridging, fluid resuscitation, and steep limb elevation.
How is phlegmasia treated in the medical field?
The majority of patients are treated medically, with anticoagulation being the mainstay of therapy to promote thrombus resolution and prevent propagation and embolization. Because phlegmasia is a rare condition, its incidence is unknown. The best estimate is derived from case series of patients treated for extensive DVT.
Which is more advanced phlegmasia cerulea dolens or Frank venous gangrene?
Phlegmasia cerulea dolens (PCD) is more advanced and considered a precursor of frank venous gangrene.It is characterized by severe swelling and cyanosis and blue discoloration of the extremity.