Weekend case discussionCreated by:
30 years old lady, B/G intravenous drug user, alcohol dependancy, on methadone programme, was admitted to hospital due to pain, erythematous and increasing in the swelling of left leg, with spike of temperature in a few occasions. She deny any plureritic chest pain, no shortness of breath, no productive cough, no urinary symptoms, no abdominal pain, and no headahce. On examitaion, her temperature was 37.5 celcius, left calf measure was 3.5cm larger than the right calf, with erythematous, tenderness, and increased in warmness at the skin area. Cardiovascular examination was normal with no murmur, respiratory, abdominal and respiratory examination was normal. Blood investigation showed elevated white cell count, neutrophil and CRP. What is/are your working diagnosis or differential diagnosis? What the investigations and management plan??