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17 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]

  • Pulmonary Embolism

    Patient has negative Homan's Sign. Joint exam revealed shoulder movements complete in range. No warmth or tenderness noted.[meddean.luc.edu] skin on the affected leg.[web.archive.org] 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]

  • 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]

  • 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]

  • Pulmonary Infarction

    Typical complications include congestive heart failure, systemic emboli, or vasculitic type syndromes.[ncbi.nlm.nih.gov] Signs and symptoms of DVT in the leg include leg or calf pain, especially on dorsiflexion (positive Homanssign); redness or discoloration; and increased warmth and swelling[americannursetoday.com] skin If your healthcare provider thinks you have a PE, he or she will check your legs for signs of deep vein thrombosis.[cedars-sinai.edu]

  • Elephantiasis

    Sign in Papers and Discussions New England Surgical Society Free Preview Archive JOHN HOMANS, M.D. † Facebook Twitter LinkedIn Email Copy URL Permissions Purchase this article[nejm.org] , and fissuring of the skin.[medical-dictionary.thefreedictionary.com] Pathophysiology of edema in congestive heart failure. Heart Dis Stroke 1993 ; 2 : 325 –9. Turhan E, Ege A, Keser S, Bayar A.[jabfm.org]

  • 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] Two patients were lost to follow up after two and three years, respectively, and 11 died because of cancer progression, pulmonary embolism, and congestive heart failure. 1[doi.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]

  • Recurrent Thrombophlebitis due to Hereditary Disorders

    Homans sign First observed by surgeon Dr. John Homans, the sign is elicited by passive dorsiflexion of the ankle.[pathophys.org] Failure to wear an elastic stocking can lead to chronic venous insufficiency and it's associated problems including pain, swelling, dermatitis, skin discoloration, and ulcerations[podiatrynetwork.com] Clotting system problems are associated with immobility, congestive heart failure, and artificial body surfaces, such as artificial heart valves, oral contraceptives, pregnancy[rnceus.com]

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