A 56 year old woman with severe pneumonia in the ICU got her leg turned to blue suddenly

Question

![enter image description here][1]

1. What is your diagnosis?
2. What are the complications?
3. How is the condition managed?


[1]: http://lifeinthefastlane.com/wp-content/uploads/2009/12/image_16.jpg

Answer 1

1. Looks like DVT: Deep Venous Thrombosis.
2. Potential pulmonary embolism, pulmonary hypertension, heart failure, cardiogenic shock, renal vein thrombosis, etc.
3. anticoagulants, thrombolytics, possible thrombectomy, perhaps a vena cava filter, etc.

Comments

Great... Its Phlegmasia cerulea dolens which is an uncommon severe form of deep venous thrombosis in which the thrombosis involves both the major deep venous channels of the extremity, therefore and collateral veins.