Last week I was evaluating a patient 12-weeks status post rotator cuff repair. In general, the patient is progressing in her strength and function as expected. Prior to the start of the session, the patient reported she was recently having "tightness" in her calf. She denied any recent change in activity (in the past two weeks) and The reported she is an active smoker and has a history of hypertension. Below is a picture of her calf
My patient scored a 4 on the Well's DVT rule. Due to the high likelihood of a DVT I told my patient to go to the emergency room for appropriate testing. Since she was not having any immediate symptoms, I told the patient she drive herself to the hospital.
Review the DVT criteria below. Blood clots are relatively uncommon in the outpatient orthopedic setting, but they do happen on occasion. Make sure you know how to treat these problems accordingly.
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