Swelling in the leg

Anatomy of the thigh
1. Popliteal Fossa
  1. borders
  2. contents
causes
1. tumors
  1. bone tumors
    1. Osteosarcoma
      1. histopathology
      2. Malignant tumor of mesenchymal cells characterized by direct formation of osteoid or bone matrix by the tumor cells
      3. Clinical picture
        pain at site, usually episodic then intense and persistent
        swelling
        fracture of limb(rare)
        metastasis
        lungs
        lymph nodes
        soft tissue
        types
        Primary osteosarcoma
        children, males, metaphyses of long bones
        secondary osteosarcoma
        elderly, flat bones
        Risk Factors
        AGE
        tall children
        african americans
        radiation to bones
      4. Complications
      5. Treatment
        Chemotherapy
        doxorubicin, ifosfamide, cisplatin, and high-dose methotrexate
        Limb salvage Surgery
        Amputation
      6. Prognosis
        The patient's age and general health
        The location and size of the osteosarcoma
        Results of tests
        Response to treatment
    2. EWING sarcoma
    3. physical examination
      1. Gait
      2. Observe: mass, swelling, deformity
      3. Palpate: warm, cold, fluctuant, tender
      4. AROM/PROM
      5. NV exam
      6. Lymph node exam (groin, axilla, neck)
      7. Abdominal exam for masses
    4. location
  2. investigations
    1. Blood Tests
      1. WBC Count
      2. Hemoglobin Test
      3. ESR Test
      4. Biomarkers
        alkaline phosphatase
    2. Radiology
    3. Biopsy
      1. needle biopsy
      2. open biopsy
2. baker's cyst
3. arthritis
4. injury / strain
5. Thrombophebitis

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Swelling in the leg

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	Criado por rania khalil mais de 7 anos atrás