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MILK LEGCategory: Obstetrics or Midwifery This is due to infection. It usually arises from an extension of a blood clot (thrombosis) of the womb or pelvic veins, to the thigh (femoral) vein, resulting in a partial or complete obstruction of the vein. It may come in less frequent cases, from a lymphatic infection. Symptoms. They may develop at any time between the tenth and thirtieth days or even later. These are general feelings of weariness, stiffness and soreness of the leg, especially when it is moved. There may first be pain in the region of the groin; or pain from the ankle to the groin and followed by swelling. The skin of the leg becomes markedly swollen, white and shiny. Later there is pitting on pressure, but not at first, because the skin is extremely stretched. Fever may accompany the attack, but it will subside long before the swelling of the leg has disappeared. The vein may be felt as a hard lash-like cord, a red line of inflammation marking its course along the inner and under side of the thigh. The disease may last weeks, depending upon the severity of the trouble. The affected leg is disabled for a number of months after recovery. Recovery takes place as a rule. Absorption of the clot takes place, or the vessel remains closed, and another (compensatory) circulation is established. Treatment. The patient should lie in bed with the leg elevated and swathed in flannel or cotton wet with some quieting lotion. The following is a good lotion:-- Compound Soap Liniment 6 ounces Laudanum 1-1/2 ounces Tincture Aconite Root 1/2 ounce Tincture Belladonna 1/2 ounce Wet the flannel or cotton with this. After the acute symptoms have passed the following ointment may be put on the leg:-- Ichthyol 45 grains Iodide of Lead 45 grains Chloride of Ammonium 10 grains Alboline 1 ounce The parts should not be rubbed lest a clot be loosened and travel in the general circulation and thus endanger life. Diet. Should be supporting. Salts for the bowels. Previous: CONVULSIONS. (Eclampsia)
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