help... need some advice asap....

  1. hi guys...
    I've a question....

    I have had a dull ache in my right lower leg (calf, and below) for the past 3 days or so... I've had muscle aches and been generally feeling mucky (cold, tired, just general maliase) for the same amnt of time...
    today upon inspection by my mom (quazi famous ER Nurse here) she says it looks a little red and a little swollen....(at her request, I took ASA for my discomfort.... Its not working) my LLE is fine... no swelling, no redness, no ache...

    hmm... I am 21 years old... a friend and I were trekking around manhattan island today... nothing too abnormal for us...

    now.... what do you guys think that the odds are that the swelling is r/t the walking... the maliase is from a cold and stress.
    or... perhaps do yous think its maybe a DVT...

    I'm vegging out now, BLE's elevated... and going into severe hypochondriac-ness.... sigh...
    if its not better in the AM, I'm going to my MD...(mind you, I trust a room full of nurses over the room full of 1st years I'll encounter at the ED)

    what do you guys think?

    Worriedly yours.
    --Barbara
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  2. 12 Comments

  3. by   renerian
    I think it is good you are going to see your Dr. let us know what he or she says...

    renerian
  4. by   ptnurse
    See the M.D. The thing that worries me about this is that you could have a clot. Many, many moons ago when I used birth control pills blood clots was one of the risk factors. If you use birth control pills, check it out with the doctor.
  5. by   jemb
    See the doc. (Don't do the thing of feeling better, so you don't go!) You could have a clot that could result in an embolus. Follow through, and feel better!
  6. by   jevans
    Barbara

    Blessed be

    Can you bend your knee, bringing your calf up the back of your thigh, without too much discomfort. If so, chances are, you have strained a muscle- we are on our feet all day. It is possible.

    BUT as nurses we do have knowledge that makes us dangerous so please see a DR
    j
  7. by   Rustyhammer
    DVT? Possible but I'm thinking probably not.
    Cellulitis? Maybe
    Strained muscle? If you were feeling sx's before your walk-a-thon then maybe not..
    hmmm....running a fever?
    Better go see the doc.
    -Russell
  8. by   moonchild20002000
    Barb,
    I think you need to see the doc. If you are on birth control pills could be a clot. Let us know how you are.
  9. by   CashewLPN
    hmm... I'm thinking hypochondriacism... ha... plus a + UTI.... PMS and a general rotten attitude today...
    but, now, my back is hurting like mad... (mittelshmurtz I think) my leg has been feeling better all day.... (I sat in class all day, then sat on the train, then sat on the ferry, then sat at home... )
    Sigh... what beauty to be a nurse...
    what horror to know what a nurse knows...
    --Barbara
  10. by   hoolahan
    Could you have gotten a tick bite, when you see the doc, ask him to do a Lyme's titre.

    Spider bite?

    Pain w dorsiflexion? Maybe a clot, you never know.

    My daughter is the hypochondriac in our family. I now just call her hypo for short.
  11. by   rncountry
    Yeti, it may not be anything, but get it checked out. When I was 27 and three weeks out of nursing school I had a DVT in my ileio-femerol junction. It did not start out feeling like a clot at all. It was so high up that my back was killing me for three days, thought I had pulled a muscle at work lifting a patient. Then the pain moved a bit lower and I thought, ok have a kidney infection. Went to the doc, urine came back clear. This doc then set up an appointment with an OB for me because he felt it may have something to do with my ovary. The appt. was for the following day. However that morning when I got up my leg was a beautiful shade of purple, from hip to toes and so swollen that I easily had 4 plus edema in the LE. I drove a standard and it was so bad I could not drive my car, because it hurt too much to push in the clutch. I had to call my husband at work and have him take me to the hospital. He was in the Air Force and it damn near took an act of congress for them to let him come and get me. Had the angio done at the hospital I worked at because the radiologist at the Air Force hospital was on leave. IV's in the foot are AWFUL! I swear the only reason I didn't kick the tech is because I worked with him.
    I had a clot that was nearly 8 inches long and as big around as my thumb. Cause: Birth control pills. 11 years later the leg still gives me trouble when it is hot out and I am on my feet alot. I was told that I should find another profession by the treating phyisican. I hadn't even taken my boards yet, and sure wasn't about to start over in something else.
    I was also told that if anyone had remotely thought it could have been a DVT before obvious sx showed up then they would have started me on a heparin regime right away, which may have stopped the clot from occulding the major vein in my left leg. So have yourself checked NOW. Better to be safe then sorry. I didn't go to a doc until I had sx for over two weeks.
    I have great collateral circ. now. I have veins that run across my abd. and done my leg that picked up slack that are very easily visible now. There are times that I favor the leg without realizing it, but will later because it makes my left hip hurt so much later. And some days the leg itself just aches.
    As a wound nurse I sometimes wonder how old I will be when venous stasis ulcers show up. Not a pleasant thought. So get yourself checked out, it is nothing to play with.
    I spent nearly a year on coumadin, and still take an aspirian a day.
    On the upside, I had to quit taking birth control and several years later got pregnant quite unexpectedly. And I love this little guy so much, and often believe he was the child God decided I should have, since I had still taken precautions. Though I did have to take heparin SQ daily while pregnant, having this child was worth the bruises.
    Let us know how things turn out.
  12. by   l.rae
    The ER nurse in me dictates that you follow the worst case scenario precautions...(be advised, l don't practice what l preach)...anyway, had a pt not long ago, healthy, 30 something, pain in LE not real bad, not text book either...she kept appologising for coming to ER..said, "l almost didn't come"....she had a dangling clot and was taken to surg that evening...luck for her!.......follow up!
  13. by   Jenny P
    Yeti, you haven't answered this thread yet, and on your last post you didn't sound as though you had been in to the Doc yet. You and I chat enough that I'm going to play MOM on you and tell you to get your butt in to the doctor TODAY! We love you Kid, and now I'm worrying about you. You have a crazy life and a very busy schedule, but that doesn't mean that you should neglect something that you post here.

    I think we often come here hoping that someone will tell us our symptoms are nothing so we can continue to ignore our own health. Everyone has told you to go to the doctor, so please do it. And let me know you are all right, okay?

    Love ya (and don't forget you're gonna cook for me someday, right?)
    Jenny
  14. by   canoehead
    If it is getting better instead of worse if it was my leg I would expect it to be ALL better tomorrow and take it easy until then. However if my sister told me about these symptoms I would make her get it checked out and offer to drive her to the ER.

    That probably didn't help much though...

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