A transit passenger with unilateral leg pain
<p dir="ltr">A 57‐year‐old male transit passenger from an 8‐hour flight presented to the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/emergency-department" target="_blank">emergency department</a> with severe left posterior thig...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , |
| منشور في: |
2025
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| الموضوعات: | |
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إضافة وسم
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| _version_ | 1864513538454716416 |
|---|---|
| author | Ghazala Faheem (21842918) |
| author2 | Muhammad Abd Ur Rehman (17884283) Muhammad Junaid Iqbal (21842198) Tahir Shahzad (21842195) |
| author2_role | author author author |
| author_facet | Ghazala Faheem (21842918) Muhammad Abd Ur Rehman (17884283) Muhammad Junaid Iqbal (21842198) Tahir Shahzad (21842195) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ghazala Faheem (21842918) Muhammad Abd Ur Rehman (17884283) Muhammad Junaid Iqbal (21842198) Tahir Shahzad (21842195) |
| dc.date.none.fl_str_mv | 2025-01-08T12:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1002/emp2.13221 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/A_transit_passenger_with_unilateral_leg_pain/29900651 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Emergency medicine Trauma Deep venous thrombosis (DVT) Sepsis Inflammatory markers Creatinine elevation |
| dc.title.none.fl_str_mv | A transit passenger with unilateral leg pain |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">A 57‐year‐old male transit passenger from an 8‐hour flight presented to the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/emergency-department" target="_blank">emergency department</a> with severe left posterior thigh pain. He had experienced a traumatic event a few weeks prior, resulting in fractures of the left hip and left lower ribs. Upon examination, he exhibited severe tenderness, warmth, and fluctuation in the left posterior thigh with minimal swelling. He had a low‐grade fever (37.8°C), was markedly tachycardic (heart rate: 125 beats/min), and appeared clinically dehydrated. Blood investigations revealed raised inflammatory markers, elevated creatinine, and high lactate levels (<a href="https://www.sciencedirect.com/science/article/pii/S2688115224014231?via=ihub#t0010" target="_blank">Table 1</a>). Given his clinical presentation and recent surgery combined with the long flight, initial differential diagnoses included <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/deep-vein-thrombosis" target="_blank">deep venous thrombosis</a> (DVT) and <a href="https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/sepsis" target="_blank">sepsis</a>. Point‐of‐care ultrasound (POCUS) ruled out DVT but revealed subcutaneous edema with fluid collection in the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hamstring-muscle" target="_blank">hamstring muscles</a>.</p><h2>Other Information</h2><p dir="ltr">Published in: JACEP Open<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/emp2.13221" target="_blank">https://dx.doi.org/10.1002/emp2.13221</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_fb9ed1a8e045af1d74a30fd60cabc608 |
| identifier_str_mv | 10.1002/emp2.13221 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/29900651 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | A transit passenger with unilateral leg painGhazala Faheem (21842918)Muhammad Abd Ur Rehman (17884283)Muhammad Junaid Iqbal (21842198)Tahir Shahzad (21842195)Biomedical and clinical sciencesClinical sciencesEmergency medicineTraumaDeep venous thrombosis (DVT)SepsisInflammatory markersCreatinine elevation<p dir="ltr">A 57‐year‐old male transit passenger from an 8‐hour flight presented to the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/emergency-department" target="_blank">emergency department</a> with severe left posterior thigh pain. He had experienced a traumatic event a few weeks prior, resulting in fractures of the left hip and left lower ribs. Upon examination, he exhibited severe tenderness, warmth, and fluctuation in the left posterior thigh with minimal swelling. He had a low‐grade fever (37.8°C), was markedly tachycardic (heart rate: 125 beats/min), and appeared clinically dehydrated. Blood investigations revealed raised inflammatory markers, elevated creatinine, and high lactate levels (<a href="https://www.sciencedirect.com/science/article/pii/S2688115224014231?via=ihub#t0010" target="_blank">Table 1</a>). Given his clinical presentation and recent surgery combined with the long flight, initial differential diagnoses included <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/deep-vein-thrombosis" target="_blank">deep venous thrombosis</a> (DVT) and <a href="https://www.sciencedirect.com/topics/pharmacology-toxicology-and-pharmaceutical-science/sepsis" target="_blank">sepsis</a>. Point‐of‐care ultrasound (POCUS) ruled out DVT but revealed subcutaneous edema with fluid collection in the <a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/hamstring-muscle" target="_blank">hamstring muscles</a>.</p><h2>Other Information</h2><p dir="ltr">Published in: JACEP Open<br>License: <a href="https://creativecommons.org/licenses/by/4.0/deed.en" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1002/emp2.13221" target="_blank">https://dx.doi.org/10.1002/emp2.13221</a></p>2025-01-08T12:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1002/emp2.13221https://figshare.com/articles/journal_contribution/A_transit_passenger_with_unilateral_leg_pain/29900651CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/299006512025-01-08T12:00:00Z |
| spellingShingle | A transit passenger with unilateral leg pain Ghazala Faheem (21842918) Biomedical and clinical sciences Clinical sciences Emergency medicine Trauma Deep venous thrombosis (DVT) Sepsis Inflammatory markers Creatinine elevation |
| status_str | publishedVersion |
| title | A transit passenger with unilateral leg pain |
| title_full | A transit passenger with unilateral leg pain |
| title_fullStr | A transit passenger with unilateral leg pain |
| title_full_unstemmed | A transit passenger with unilateral leg pain |
| title_short | A transit passenger with unilateral leg pain |
| title_sort | A transit passenger with unilateral leg pain |
| topic | Biomedical and clinical sciences Clinical sciences Emergency medicine Trauma Deep venous thrombosis (DVT) Sepsis Inflammatory markers Creatinine elevation |