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Mahmoud Hindawi
Licensed Doctor
الأسئلة المجابة 27495 | نسبة الرضا 98.6%
Doctor
My toes they are very cold. They were red and...
My toes they are very cold. They were red and swollen but now they are normal but there is like clotted blood under the skin it's like purple spots
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إجابة الخبير: Mahmoud Hindawi
Mahmoud Hindawi
Licensed Doctor
الأسئلة المجابة 27495 | نسبة الرضا 98.6%
What are the causes of swollen toes with bluish discolouration ?
- vascular disease and it maybe :
- aretrerial disease
- venous disease
- aretrerial disease
- venous disease
- autoimmiune disease as raynaud phenomna
- diabetic food and gangeroneious change
- gout and elvated uric acid deposition
- infectious disease
- low platlet
How to mangement ?
- try to keep your legs warm
- baby aspirin once daily
- clexane 40 mg every 2 days for 10 days
- warafarin 5 mg once daily
- catherization or graft for arterial problems and may need use of stent to eep it open
- if ther is gangerous change it need parital amputation to the area which not have blood supply
- ceftriaxone injection once daily
- allopurinol for high uric acid level
- colchicine to relief pain if exist
- treat any chronic disease as diabetus and hypertension
- plasma transfusion
What are the ivestigation ?
- ultrasound with colour doppler
- ct angiogram for lower limb
- uric acid level
- calcium level
-CBC
- blood sugar level
- HBA1C level
- platelet level
إسأل Licensed Doctor
Mahmoud Hindawi
Licensed Doctor
الأسئلة المجابة 27495 | نسبة الرضا 98.6%
- 100% ضمان الرضا
- انضم الى 8 مليون من العملاء الراضين
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