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A patient with calf pain
Published in Tim French, Terry Wardle, The Problem-Based Learning Workbook, 2022
Provide clues to an alternative diagnosis: activities on holiday. Any history of trauma? Was the onset acute as in a torn muscle?any cuts, possible focus of infection, or fever?is there any history of arthritis or preceding swelling of the knee that might suggest a Baker’s cyst?
Questions 1–20
Published in Anna Kowalewski, SBAs and EMQs in Surgery for Medical Students, 2021
A 50- year- old woman taking non- steroidal anti- inflammatory drugs for osteoarthritis presented with a history of sudden-onset pain behind her right knee leading to pain down the calf. Ultrasound confirms a Baker’s cyst. Her mobility is still good.
Limbs
Published in Keith Hopcroft, Vincent Forte, Symptom Sorter, 2020
SMALL PRINT: (in hospital) radio-iodine labelled fibrinogen uptake test. FBC, ESR/CRP: elevated white cell count and ESR/CRP in cellulitis.D-dimer: raised level suggests DVT but is not conclusive.Ultrasound: may help diagnose DVT and useful in confirming ruptured Baker’s cyst as the cause.Venography, radio-iodine labelled fibrinogen uptake test: hospital test which may be used to confirm DVT.
Use of Kinesio® taping and manual lymphatic drainage to manage traumatic edema and ecchymosis post arthroscopic meniscectomy in a recreational weightlifter: A case report
Published in Physiotherapy Theory and Practice, 2023
Kyle W. Feldman, Adam Wielechowski, Kate Divine
The patient presented to PT with severe edema and ecchymosis (Figure 2). The initial differential diagnoses related to edema included a DVT, arterial insufficiency, retearing of the meniscus, intra-articular swelling/traumatic edema due to surgery, lymphedema and venous or arterial insufficiency. Potential differential diagnoses regarding knee pain included intra-articular swelling/traumatic edema due to surgery, re-tearing of meniscus or Baker’s cyst recurrence. Due to his past medical history and age, the likelihood of venous insufficiency and lymphedema were less probable (Armer and Stewart, 2005; Zuther, Armer, and Norton, 2018). A DVT was also unlikely as previous diagnostic ultrasound was negative. The patient had a second follow-up with the surgeon before the PT evaluation, at which time further testing was deemed unnecessary and the patient was referred to physical therapy. Based on the aforementioned information, the physical therapist felt it was safe to continue with examination.
Validation and characterization of venous thromboembolism diagnoses in the Swedish National Patient Register among patients with rheumatoid arthritis
Published in Scandinavian Journal of Rheumatology, 2023
V Molander, H Bower, J Askling
Among the 269 patients with registered VTE events included for validation, the mean age at VTE was 71 years and 183 (68%) were female. In total, 255 events were confirmed as VTE (incident or prevalent), of which 235 were incident and 20 were prevalent. Of the 235 incident VTEs, 139 were DVT or SVT, and 96 were PE. For all of the 20 confirmed prevalent VTEs, the ICD-10 code for VTE was registered at a coagulation outpatient clinic during a follow-up visit after a previous VTE. Of the 14 unconfirmed VTEs, nine were registered owing to clinical suspicion of DVT where ultrasound (usually during the following day) turned out to be negative. In five of these cases, ultrasound revealed a ruptured Baker’s cyst (Table 1).
An unexpected event after deep vein thrombosis in spinal cord injury: Ruptured Baker’s cyst
Published in The Journal of Spinal Cord Medicine, 2022
A ruptured Baker’s cyst should be considered in the differential diagnosis of SCI patients who develop limb swelling and pain. Anticoagulant use in SCI patients with a ruptured Baker’s cyst may have severe clinical manifestations. Ultrasound-guided aspiration may help to resolve the symptoms associated with a ruptured Baker’s cyst.