The patient has a history of ulcerative colitis diagnosed
20 years ago. He began to notice left calf pain about 2 weeks ago. It was
initially mild but progressed in intensity and became associated with swelling.
His PCP obtained an ultrasound with doppler and diagnosed a deep vein thrombosis.
After hearing the diagnosis the patient was able to remember that he had a
previous episode of DVT which was treated with anticoagulation. The
patient was placed on coumadin and an outpatient consultation with hematology
was arranged. He also was given an outpatient appointment with gastroenterology
regarding his diagnosis of ulcerative colitis which has been in remission
on sulfasalazine.
Previous Medical Diagnoses, Hospitalizations, and Operations:
Ulcerative Colitis-1981
Deep Vein Thrombosis-1991
Medications:
Sulfasalazine
Pyridoxine
Personal and Social History:
No excessive alcohol or tobacco use; no substance abuse;
no travel; stable family and finances
