An acutely swollen leg

An acutely painful leg.

The swollen leg and primary lymphoedema.

Children who present with unilateral or bilateral swelling of the legs are often suspected of having a deep venous thrombosis. The incidence of deep venous thrombosis in children is low and lymphoedema may be a more appropriate diagnosis. Lymphoedema can be primary or secondary. In childhood, primary lymphoedema is more common and may be seen associated with other congenital abnormalities, such...

A transplant patient with a swollen leg

Some degree of peripheral oedema is not uncommon following renal transplantation. Bilateral peripheral oedema is seen in the context of congestive heart failure, delayed graft function with extracellular volume expansion or nephrotic syndrome due to glomerular disease. Mild unilateral peripheral oedema is also often seen, typically early after surgery and on the transplanted side. In these case...

The acutely swollen knee. Part two--management of traumatic pathology.

The acutely swollen knee is a common presentation of knee pathology in the emergency department and the primary care setting, whether on board ship, in a Regimental Aid Post, or in a Medical Centre. The swollen knee has both traumatic and atraumatic (systemic) causes, all of which can be accurately diagnosed with an understanding of the underlying injury patterns and patho-anatomy. In Part 2 of...

The acutely swollen knee. Part 1: Management of atraumatic pathology.

The acutely swollen knee is a common presentation of knee pathology in the Emergency Department and the primary care setting whether on board ship, a Regimental Aid Post or Medical Centre. The swollen knee has both traumatic and atraumatic (systemic) causes, all of which can be accurately diagnosed with an understanding of the underlying injury patterns and patho-anatomy. In Part One, we will b...