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1,008 Possible Causes for Acute Massive Pulmonary Embolism, Ankle Edema, Discoloration of the Lower Extremity

  • Deep Vein Thrombosis

    A 38-year-old Sri Lankan man presented with acute pancreatitis and later he developed progressive abdominal distention with bilateral ankle edema.[ncbi.nlm.nih.gov] The European Cooperative Study Group for Pulmonary Embolism Effects of intravenous urokinase versus alteplase on total pulmonary resistance in acute massive pulmonary embolism[ncbi.nlm.nih.gov] The patient's left lower extremity was discolored, tender, and swollen, although it had not progressed to venous gangrene or dermal necrosis.[ncbi.nlm.nih.gov]

  • Phlegmasia Cerulea Dolens

    Two months previous the hospitalization, he felt pains on the right ankle; the joint also showed edema which extended upward to the knee.[panafrican-med-journal.com] Meyer GJ, Sors H, Charbonnier B, et al: Effects of intravenous urokinase versus alteplase on total pulmonary resistance in acute massive pulmonary embolism: a European multicenter[web.archive.org] The patient returned to the Emergency Department a week later for worsening pain and bluish discoloration of her bilateral lower extremities.[ncbi.nlm.nih.gov]

  • Varicose Veins

    Learn more: Swollen feet, ankles, and hands (edema) during pregnancy Itching during pregnancy Help for common pregnancy skin problems[babycenter.com] Severe venous reflux can result in skin discoloration, severe swelling, and lower extremity wounds that do not heal well.[health.ucsd.edu] The ankles swell because fluid accumulates in the tissue under the skin—a condition called edema. Varicose veins alone do not cause edema.[merckmanuals.com]

  • Cor Pulmonale

    Physical findings may include: Jugular venous distension: Prominent jugular V wave, indicating the presence of tricuspid regurgitation Peripheral (ankle) edema: The best sign[ncbi.nlm.nih.gov] Causes of Cor Pulmonale Acuity Condition Acute Massive pulmonary embolization Injury due to mechanical ventilation (most commonly in patients with ARDS ) Chronic COPD * Extensive[merckmanuals.com] The physical examination findings evaluated in the study include ankle edema and prominent jugular vein.[chronic-obstructive-pulmonary-disease.imedpub.com]

    Missing: Discoloration of the Lower Extremity
  • Congestive Heart Failure

    Increased central venous pressure ( 16 cm H2O at right atrium) · Hepatojugular reflux · Weight loss 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle[medicalcriteria.com] […] or acute massive lung disease (e.g. massive pneumonia or pulmonary embolism), acute right ventricular infarction, tricuspid valve malfunction (traumatic or infectious), and[doi.org] As a result, you may experience: Fatigue, weakness or dizziness Heart palpitations Shortness of breath Swollen legs and ankles (edema) Weight gain If your heart failure symptoms[conehealth.com]

    Missing: Discoloration of the Lower Extremity
  • Henoch-Schönlein Purpura

    A 20-year-old man was admitted to the hospital with a one-day history of fever and acute, painful symmetric polyarthritis that involved the wrists, elbows, and ankles.[nejm.org] Joint pain – Pain or soreness comes in the joints, usually the knees and ankles. It tends to move around from one area to another.[nationwidechildrens.org] Subcutaneous edema (20-50%) Scrotal edema (2-35%) Bloody stools Because HSP can affect all organ systems, a full physical examination is indicated.[emedicine.com]

    Missing: Acute Massive Pulmonary Embolism
  • Heart Failure

    Increased central venous pressure ( 16 cm H2O at right atrium) · Hepatojugular reflux · Weight loss 4.5 kg in 5 days in response to treatment Minor criteria: · Bilateral ankle[medicalcriteria.com] […] or acute massive lung disease (e.g. massive pneumonia or pulmonary embolism), acute right ventricular infarction, tricuspid valve malfunction (traumatic or infectious), and[doi.org] The weakening of the heart's pumping ability causes Blood and fluid to back up into the lungs The buildup of fluid in the feet, ankles and legs - called edema Tiredness and[medlineplus.gov]

    Missing: Discoloration of the Lower Extremity
  • Chronic Right-Sided Congestive Heart Failure

    , especially if bed bound 1,2 peripheral (ankle) edema 1,2 ascites 1,2 hepatomegaly, may have a tender edge and gastrointestinal symptoms 1,2 raised jugular venous pressure[radiopaedia.org] The weakening of the heart's pumping ability causes Blood and fluid to back up into the lungs The buildup of fluid in the feet, ankles and legs - called edema Tiredness and[medlineplus.gov] As a result, there will be peripheral edema, swelling in foot and ankle in people who are mostly standing and sacral edema in people who are lying down.[newhealthadvisor.com]

    Missing: Discoloration of the Lower Extremity
  • Stasis Dermatitis

    Earlier signs, such as prominent superficial veins and pitting ankle edema, are well known.[ncbi.nlm.nih.gov] Symptoms Swelling around the ankles that usually goes away while you’re asleep but comes back the next day Discoloration of the skin or hyperpigmentation on the lower extremities[verywellhealth.com] edema and progressing to tan pigmentation, patchy erythema, petechiae, and induration.[medical-dictionary.thefreedictionary.com]

    Missing: Acute Massive Pulmonary Embolism
  • Chronic Thromboembolic Pulmonary Hypertension

    We reported the clinical course of a severely diseased patient with a history of meningitis, psychosis and epilepsy, experiencing acute massive pulmonary embolism complicated[ncbi.nlm.nih.gov] Comparison of streptokinase and heparin in treatment of isolated acute massive pulmonary embolism.[doi.org] […] by acute respiratory failure, successfully treated by ECMO and PTE.[ncbi.nlm.nih.gov]

    Missing: Discoloration of the Lower Extremity