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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Pain And Swelling In Leg

I have a swollen thigh above the knee with pain on the back side of leg at bend of leg at knee. Pain radiating done backside of thigh and leg. I have leg elevated. Earlier I had shooting pains in top area of thigh at groin. I cannot bend my leg due to pain. This is the worst it has gotten. Usually just pain adjacent to knee in the bend. I thought it was beginning of varicose bcc sins.bgb
Mon, 18 Jan 2016
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General & Family Physician,  's  Response
welcome to hcm,
I really appreciate your concern,
1 Hypothyroidism: a simple blood test called TSH should rule this out.

2 Cushings syndrome: a midnight salivary cortisol tests is a reasonable start.

3 Acromegaly: a blood test called IGF1 helps screen for this problem.

When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination:

CBC
Electrolytes
Calcium
HbA1c
Liver function tests
Kidney function tests
TSH
Free T4
25 hydroxy Vitamin D
IGF1
Midnight Saliva Cortisol
Please let me know if you have any questions,
thanks.regards.
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Suggest Treatment For Pain And Swelling In Leg

welcome to hcm, I really appreciate your concern, 1 Hypothyroidism: a simple blood test called TSH should rule this out. 2 Cushings syndrome: a midnight salivary cortisol tests is a reasonable start. 3 Acromegaly: a blood test called IGF1 helps screen for this problem. When I see someone like you in my practice, I typically order the following tests in addition to a detailed physical examination: CBC Electrolytes Calcium HbA1c Liver function tests Kidney function tests TSH Free T4 25 hydroxy Vitamin D IGF1 Midnight Saliva Cortisol Please let me know if you have any questions, thanks.regards.