GP Topics · Vascular Medicine
45-Year-Old Male: Unilateral Right Lower Limb Swelling
A comprehensive SOAP-format clinical case — DVT, filariasis, and lymphoedema differentials in a Tier II Indian setting.
Many patients will come to your OPD with complaints of one-sided lower limb swelling with pain for 1 month. Today, we will discuss this case. We will learn what examinations and investigations we will do to reach a diagnosis. Let’s begin.
What’s inside this 17-page guide
A complete walkthrough of how to approach unilateral whole-limb swelling in a working OPD — read clinically, not by reflex. Covers the prevalence-first differential diagnosis, structured examination, three-tier investigation strategy, and provisional treatment pending Doppler and serology.
- Three anchoring features that define the entire diagnostic approach
- Prevalence-ordered differentials for the Tier II Indian setting — DVT, filariasis, cellulitis, CVI, iliac vein compression
- Trousseau syndrome and the unprovoked-DVT occult malignancy screen
- Wells score, limb circumference rule, and bedside clinical thresholds
- Three-tier investigation plan: same-day OPD, 24–48 hours, referral level
- Provisional treatment algorithms for confirmed DVT, filariasis, and cellulitis
- Full SOAP note template — Subjective, Objective, Assessment, Plan — ready to use at the bedside
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