Differential Diagnosis for Anterior Tibia Pain with Suspected DVT
- Single most likely diagnosis
- Deep Vein Thrombosis (DVT): This is the most likely diagnosis given the presentation of anterior tibia pain, as DVT can cause pain and swelling in the affected leg, often in the calf or thigh, but can also radiate to the anterior tibia.
- Other Likely diagnoses
- Cellulitis: An infection of the skin and subcutaneous tissues that can cause pain, redness, and swelling in the affected area, including the anterior tibia.
- Shin Splints (Medial Tibial Stress Syndrome): A common condition characterized by pain in the anterior tibia, often related to overuse or repetitive stress on the muscles and bones of the lower leg.
- Compartment Syndrome: A condition where increased pressure within a muscle compartment can cause pain, swelling, and limited mobility, potentially affecting the anterior tibia.
- Do Not Miss (ddxs that may not be likely, but would be deadly if missed.)
- Pulmonary Embolism (if DVT dislodges and travels to the lungs): Although not directly causing anterior tibia pain, a DVT can break loose and travel to the lungs, causing a potentially life-threatening pulmonary embolism.
- Osteomyelitis: A bone infection that can cause severe pain, swelling, and redness, and if left untreated, can lead to serious complications, including sepsis.
- Necrotizing Fasciitis: A rare but life-threatening infection of the soft tissues that can cause severe pain, swelling, and skin changes, requiring prompt medical attention.
- Rare diagnoses
- Stress Fracture: A small crack in the bone that can cause pain and swelling, often related to overuse or repetitive stress on the affected area.
- Popliteal Artery Aneurysm or Thrombosis: A rare condition where the popliteal artery behind the knee becomes dilated or blocked, potentially causing pain, swelling, and limited mobility in the affected leg.
- Nerve Entrapment (e.g., peroneal nerve compression): A condition where a nerve is compressed or irritated, causing pain, numbness, and weakness in the affected area.