A 47-year-old woman returns from a 12-hour international flight and develops acute left calf pain, swelling, and warmth. Vital signs: BP 132/84 mmHg, HR 98 bpm, RR 18, temp 37.2°C, SpO2 98% on room air. She takes an estrogen-containing oral contraceptive. Bilateral lower extremity ultrasound shows left popliteal vein thrombosis with normal right leg vasculature. She denies chest pain and dyspnea. Which diagnosis best explains her presentation?
- A)Chronic venous insufficiency
- B)Acute arterial embolism
- C)Deep venous thrombosisGABARITO
- D)Buerger disease
- E)Peripheral arterial disease
Explicação
Deep venous thrombosis is correct. Venous stasis during prolonged travel together with estrogen exposure increases the risk of thrombus formation in the deep veins of the leg. Warmth and swelling are typical, whereas arterial occlusion causes pallor and pulsel... Ver explicação completa e trilha adaptativa →