Differential Diagnosis for Swelling in the Left Upper Limb
Single Most Likely Diagnosis
- Trauma or Injury: This is often the most common cause of swelling in a limb, due to accidents, falls, or sports injuries, leading to bruising, sprains, or fractures.
Other Likely Diagnoses
- Infection: Bacterial or viral infections can cause swelling, redness, and warmth in the affected limb, such as cellulitis or abscesses.
- Venous Thrombosis: A blood clot in the veins can cause swelling, pain, and discoloration in the limb, more common in the legs but can occur in the arms.
- Lymphedema: Swelling due to impaired lymphatic drainage, which can be primary (inherited) or secondary (due to surgery, infection, or trauma).
Do Not Miss Diagnoses
- Deep Vein Thrombosis (DVT) with Pulmonary Embolism Risk: Although more common in the lower limbs, DVT in the upper limb can occur, especially with central venous catheters or cancer, and poses a risk of pulmonary embolism.
- Compartment Syndrome: A medical emergency where increased pressure within a muscle compartment leads to nerve and muscle damage, requiring prompt surgical intervention.
- Axillary Vein Thrombosis: A clot in the axillary vein can cause swelling and requires immediate attention to prevent complications like pulmonary embolism.
Rare Diagnoses
- Sarcoidosis: A systemic disease that can cause swelling and lymphadenopathy in various parts of the body, including the limbs.
- Lipoma or Other Soft Tissue Tumors: Benign or malignant tumors that can cause localized swelling.
- Vasculitis: Inflammation of the blood vessels that can lead to swelling, pain, and other systemic symptoms, depending on the type and severity.
- Neurogenic Causes: Such as neurofibromatosis, which can cause swelling due to nerve tissue tumors.