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What Causes Severe Pain In Thighs, Fever And Lethargy In An Aneurysm Patient?

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Posted on Mon, 22 Aug 2016
Question: I haveSEVERE pain in my thighs, fever, and lathargic. I suffered an aneurysm at 35 confinig me to a wheelchair, my dr is out of town so any ideas, I feel fine exceop for the muscle aches

Will you tell me what you think?

Thank you
doctor
Answered by Dr. Saddiq Ulabidin (2 hours later)
Brief Answer:
You need arterial and venous doppler ultrasound of both lower limbs

Detailed Answer:
Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible.

First of all, it is sad to know what you had gone through.

Based on the history you have shared, you need to get it reviewed by a doctor as soon as possible as to rule out any signs of limb ischemia and pulses need to be examined for flow keeping the history of circulation problems already in the past. Also to look for blood flow patency in both legs with detailed arterial doppler and may be a venous doppler too.

Blood work up like CPK and ESR and CRP may also be needed to rule out any myopathy. Meanwhile Keep using OTC analgesics like you have mentioned but I would suggest not to wait till your doctor is back rather consult any nearby ER as limb ischemia if present can need prompt intervention.

Other causes like cellulitis or compartment syndrome also needs to be ruled out so these are only possible by a careful examination by a doctor.

Wishing you a speedy recovery. If you have any more questions, feel free to ask.

Regards.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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Answered by
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Dr. Saddiq Ulabidin

General & Family Physician

Practicing since :2011

Answered : 3941 Questions

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What Causes Severe Pain In Thighs, Fever And Lethargy In An Aneurysm Patient?

Brief Answer: You need arterial and venous doppler ultrasound of both lower limbs Detailed Answer: Hi! Welcome to health care magic! Thanks for sharing your concerns with us. We will try to help you in best way possible. First of all, it is sad to know what you had gone through. Based on the history you have shared, you need to get it reviewed by a doctor as soon as possible as to rule out any signs of limb ischemia and pulses need to be examined for flow keeping the history of circulation problems already in the past. Also to look for blood flow patency in both legs with detailed arterial doppler and may be a venous doppler too. Blood work up like CPK and ESR and CRP may also be needed to rule out any myopathy. Meanwhile Keep using OTC analgesics like you have mentioned but I would suggest not to wait till your doctor is back rather consult any nearby ER as limb ischemia if present can need prompt intervention. Other causes like cellulitis or compartment syndrome also needs to be ruled out so these are only possible by a careful examination by a doctor. Wishing you a speedy recovery. If you have any more questions, feel free to ask. Regards.