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28 Possible Causes for Congestive Heart Failure, Homans' Sign, Skin Discoloration

  • Deep Vein Thrombosis

    Of those who responded, 80.5% were taught to use Homans sign to screen for a possible DVT in their entry-level education and 67.9% continued to use Homans sign in clinical[ncbi.nlm.nih.gov] Signs or symptoms of postphlebitic syndrome may include: Leg aching and fatigue Aching Swelling Hyperpigmentation or skin discoloration Itching and dry skin of the affected[umcvc.org] heart failure Inflammatory bowel disease ( Crohn's disease or ulcerative colitis ) Some types of cancer, or cancer treatment, may increase levels of certain substances in[everydayhealth.com]

  • Thrombophlebitis

    Assess vital signs. Assess extremities for signs of inflammation, swelling, and the presence of Homans sign.[rnpedia.com] discoloration in severe cases Learn more about Deep Vein Thrombosis (DVT) .[umcvc.org] heart failure Estrogen replacements (high dose only) Fibrinogen abnormality Fractures Hemolytic anemias Heparin-associated thrombocytopenia Homocysteinemia Homocystinuria[emedicine.medscape.com]

  • Thrombosis

    Homan's Sign Homan's Sign has been used as an indicator for LE DVT since the 1940s. [12] The test is performed by forcefully dorsiflexing the ankle while the knee is extended[physio-pedia.com] Damage to your veins from the blood clot reduces blood flow in the affected areas, which can cause: Persistent swelling of your legs (edema) Leg pain Skin discoloration Skin[mayoclinic.org] Also, there are specific medical conditions that may increase your risk of developing a DVT via these three mechanisms, such as congestive heart failure, severe obesity, chronic[vascularcures.org]

  • Vein Disorder

    .  Û circumference of the thigh or calf  ( ) Homan’s sign – dorsiflexion of the foot produces calf pain  Do not check for the Homan’s sign if DVT is already known to be[slideshare.net] You may experience redness of the legs and ankles, skin discoloration around the ankles or lower legs, or varicose veins which are large, tortuous, and usually grotesquely[coronadoveincenter.com] heart failure (CHF) or certain tumors There are many types of blood clots that can occur in the veins: Deep vein thrombosis (DVT) is a blood clot occurring in a deep vein[webmd.com]

  • Pulmonary Embolism

    As a result of another medical condition, such as cardiovascular disease (including congestive heart failure, atrial fibrillation and heart attack) or stroke.[my.clevelandclinic.org] Patient has negative Homan's Sign. Joint exam revealed shoulder movements complete in range. No warmth or tenderness noted.[meddean.luc.edu] These symptoms include: Pain, inflammation or warmth in one of your legs Skin that is red or discolored on one of your legs Swelling in one leg or along one leg vein Sores[aurorahealthcare.org]

  • Thromboembolism

    Although calf pain on dorsiflexion of the foot (Homans' sign) is the classic assessment finding for DVT, don't rely heavily on this sign; nearly half of all patients with[journals.lww.com] The clot can block blood flow and cause: Leg pain or tenderness of the thigh or calf Leg swelling (edema) Skin that feels warm to the touch Reddish discoloration or red streaks[heart.org] On multivariable analysis, clinical factors significantly associated with increased odds of VTE included congestive heart failure (odds ratio [OR] 2.83, P 0.01), prolonged[ncbi.nlm.nih.gov]

  • Cerebral Embolism

    Eliciting Homans' sign (discomfort behind the knee on forced dorsiflexion of the foot), noting skin and temperature changes in the area of the calf, and assessing edema of[medical-dictionary.thefreedictionary.com] Cutaneous [ edit ] Reduced blood flow to the skin layers may result in mottling or uneven, patchy discoloration of the skin Causes [ edit ] Ischemia is a vascular disease[en.wikipedia.org] heart failure and fetal death.[ncbi.nlm.nih.gov]

  • Cyclic Edema Syndrome

    The absence of calf pain at passive dorsiflexion of the ankle (positive Homans' sign) does not rule out thrombosis.[ebm-guidelines.com] Leg edema is not only undesirable due to cosmetic reasons but may lead to thinning of the skin, discoloration or staining (pigmentation) and skin sores (ulcers).[docsopinion.com] Final diagnoses included pulmonary hypertension/borderline pulmonary hypertension ( 30 mm Hg) (42%), congestive heart failure (29%), idiopathic edema (27%), venous insufficiency[medical-dictionary.thefreedictionary.com]

  • Septic Thrombophlebitis

    Positive Homan’s sign: Identification of this problem is by the patient’s foot (bending the foot towards the head) while the patient lies flat on a bed or even surface and[byebyedoctor.com] heart failure, age, proteins C and S deficiency, trauma, ulcerative colitis.[lymphedemapeople.com] Deep vein thrombophlebitis is characterized by aching or cramping pain, especially in the calf, when the patient walks or dorsiflexes the foot (Homans' sign). thrombophlebitis[medical-dictionary.thefreedictionary.com]

  • Postphlebitic Syndrome

    sign: Positive on Right side Edema: Positive bilateral, R L Straight leg raise and Lasegue's: Positive on left side at 45 Limb measurement [Table 1] Wells score for DVT:[ijrh.org] This is a debilitating condition that causes vein bulging, leg swelling, pain, a bursting sensation when walking, skin discoloration or open leg sores.[nwveins.com] heart failure. 2 , 3 Thus our finding that PTS is a strong determinant of QOL in DVT patients, irrespective of DVT location, is highly relevant in the light of current guidance[haematologica.org]

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