The presence of clinical findings in a lower extremity of a patient with a history of deep vein thrombosis (DVT) may be due to conditions other than recurrent DVT.

Clinical findings of concern:

(1) pain in the calf or thigh

(2) swelling


Conditions other than a recurrent DVT that can explain these findings:

(1) post-thrombotic syndrome

(2) muscle tear

(3) intramuscular hematoma complicating anticoagulation

(4) sciatic pain (also neurogenic claudication)

(5) lymphangitis

(6) ruptured popliteal cyst (Baker's cyst)

(7) autonomic disturbance

(8) congestive heart failure

(9) hypoalbuminemia

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