3 METHODS (DIFFERENTIAL DIAGNOSIS, INVESTIGATIONS, AND
TREATMENT)
Laboratory examination showed a low red cell count (2,28 x 10E12/L) with
a hemoglobin level 9.0g/dl and a raised mean corpuscular volume (114.9
fL). Ultrasound Doppler was done, which showed Multifocal chronic
recanalized thrombosis (Figure 1). Vascular surgery was consulted, and
the patient was started on low molecular weight heparins (LMWH).
Neurologist advised a follow up in OPD with MRI C-spine with contrast,
electromyography and nerve conduction study (EMG/NCS)), vitamin B12,
hemoglobin A1C (HbA1C), and thyroid stimulating hormone (TSH). In ER,
symptomatic treatment was given, electrolyte imbalance was corrected,
and the patient was discharged in stable condition on LMWH for DVT and
pregabalin for neuropathic pain.