Calf pain

Notify the physician if calf pain, difficulty breathing, or vaginal bleeding occurs... 

Clinical symptoms from TOCP intoxication were similar first symptoms occurred about 1 to 3 weeks following ingestion of the poison usually with calf pain. This progressed within days to weakness, followed by ataxia and distal paralysis. Proximal paralysis and sometimes hand and forearm muscle involvement, occurred in more severe cases. 

A previously healthy 20-year-old Caucasian woman developed intermittent left-sided chest tightness associated with palpitation but no dyspnea, hemoptysis, calf pain, or swelling. She had been out the night before with her friends to a club, since when she had... 

A 35-year-old woman developed calf-pain while taking fen-phen. It resolved when the medications were withdrawn, but her pain returned when fenfluramine was restarted. She had slight rises in aspartate transaminase and lactate dehydrogenase activities and... 

Deflnition of positive classification requires all of the following responses Y es to (1), No to (2), Yes to (4). If these criteria are fulfilled, a definite claudicant is one who indicates pain in the calf, regardless of whether pain is also marked in other sites a diagnosis of atypical claudication is made if pain is indicated in the thigh or buttock, in the absence of any calf pain. Subjects should not be considered to have claudication if pain is indicated in the hamstrings, feet, shins, joints, or appears to radiate, in the absence of any pain in the calf (18). 

A plantaris tendon tear may be clinically confused with other pathologic entities leading to calf pain, and especially with tears of the medial head of the... 

Intermittent claudication is a group of symptoms characterized by pain in the calf muscle of one or both legp, caused by walking and relieved by rest. It is a manifestation of peripheral vascular disease, in which atherosclerotic lesions develop in the femoral artery, diminishing blood supply to the lower leg. Cilostazol is used to treat intermittent claudication. 

If the patient has a DVT, it usually occurs in a lower extremity. The nurse examines the extremity for color and skin temperature The nurse also checks for a pedal pulse, noting the rate and strength of the pulse. It is important to record any difference between the affected extremity and the unaffected extremity. The nurse notes areas of redness or tenderness and asks the patient to describe current symptoms. The affected extremity may appear edematous and exhibit a positive Homans sign (pain in the calf when the foot is dorsiflexed). A positive Homans sign is suggestive of DVT. 

All patients Temperature, CBC Pain (calf or chest) Electrolytes and ECG Temp, every 8 hours CBC daily Every 8 hours Up to daily... 

Excessive spotting, breakthrough bleeding Severe leg pain (calf, thigh), tenderness, swelling, warmth... 

When pain thresholds are determined by other methods involving, for example, the application of measurable pressure to the calf of the leg, the range of variability is several-fold.17 No one method can be expected to give a complete picture of the pain thresholds, much less the more subtle matter of pain sensitivities. Presumably tests for the pain-inducing effect of heat applied to intestinal tissue of different individuals would yield uniformly negative results, but this, of course, does not mean that individuals are uniform in their pain sensitivity. 

Of all mushroom poisonings in two Swiss studies, 20 to 50% were due to this mushroom. One to two hours postingestion the patient may experience abdominal pain, violent vomiting, sweating, diarrhea, and cramping in the calf muscles. Symptoms usually last for two to six hours, but full recovery may take three to six days. 

Some have their legs monstrously swelled, and covered with one or more large livid spots, or ecchy-moses others have hard swellings there in different places, extremely painful and others I have seen, without any swelling, have the calf of the leg quite indurated. 

Report calf or chest pain, depression, numbness or weakness of an extremity, severe abdominal pain, shortness of breath, speech or vision disturbance, sudden headache, unusual bleeding, or vomiting... 

Immediately report chest pain, migraine headache, numbness of an arm or leg, sudden decrease in vision, sudden shortness of breat h, and pain, redness, swelling, or warmth in the calf... 

Peripheral artery disease (PAD) patients usually feel leg pain when walking, which is caused by insufficient blood flow to keep up with energy demand. The P MRS data collected in a PAD patient group showed prolonged PCr recovery rate (or time constants) in the calf muscle after exhaustive exercise, suggesting the transition from anaerobic to aerobic energy metabolism is delayed due to impaired oxygen supply or mitochondria fimction caused by atherosclerosis. ... 

On arrival he had shortness of breath on exertion after 2 yards (best 30 yards), cough - chronic, no worse, non-productive, chronic wheeze, no chest pain, no palpitations, ankle swelling no worse then usual, both legs swollen to upper calf, orthopnoea. The patient sleeps upright and gets paroxysmal nocturnal dyspnoea if lying flat. 

Musculoskeletal Effects. Information regarding musculoskeletal effects in humans or animals after inhalation exposure to DNOC is limited. Continuous involuntary contraction of leg muscles and pain in calf muscles were observed in a spray operator who inhaled a dense DNOC mist for an acute period (van Noort et al. 1960). Exposure to an aerosol of DNOC in solution at 40 mg/m for 4 hours resulted in loss of muscle tone in cats (Burkatskaya 1965a). Similar effects in cats exposed to DNOC dust were not reported. 

Musculoskeletal Effects. Only one of four employees complained of pain in the calf muscle after being exposed to a dense DNOC mist for an acute duration (van Noort et al. 1960). Exposure was probably a combination of inhalation and dermal. Muscular rigidity and loss of motor function were also observed in employees who were dermally exposed to 10% DNOC for 2 consecutive days (Buzzo and Guatelli 1949). 

Intramuscular injection of phenol can cause pain and swelling in the muscle (33,34). Sometimes, a firm nodular swelling develops in the calf 1-3 weeks after intramuscular neurolysis (35), particularly when larger quantities of phenol are injected into the intramuscular branches of the tibial nerve. This can usually be avoided by limiting the quantity of phenol injected to the minimum necessary and by applying cold packs to the injected area after the procedure. 

All Heparins for DVT prophylaxis Temperature, CBC Pain (calf or chest) Electrolytes and ECG Bleeding, platelets Temp, every 8 h CBC daily Every 8 h Up to daily Bleeding daily, platelets if suspected thrombocytopenia For infectious complications such as UTI or pneumonia For DVT, Ml, acute headache For fluid and electrolyte imbalances, cardiac rhythm abnormalities... 

Eye problems blurred vision, flashing lights, or blindness Severe leg pain (calf or thigh)... 

The knee also can be involved, with loss of cartilage, instability, and joint pain. Synovitis of the knee may cause the formation of a cyst behind the knee called a popliteal or Baker s cyst. These cysts may become painful as they get tense, or they may rupture, producing a clinical picture similar to thrombophlebitis secondary to the release of inflammatory components into the area of the calf muscle. Chronic joint pain leads to muscle atrophy, which can result in a laxity of the ligamentous structures that support the knee, causing instability. Maintenance of an adequate range of motion of the knee is essential to normal gait. 

CHRONIC HEALTH RISKS cramp-like pains in calf muscles numbness and tingling in feet or hands weakness of legs and feet bilateral footdrop wrist drop paralysis death in high concentrations. 

II. I. The mufcular motions above deferibed, that are mod frequently obedient to the will, are neverthelefs occafionally caufable by painful of pleafurable fenfation, as in the darting from fear, and the contra lion of the calf of the leg in the cramp. 

---