Go Back  The Hull Truth - Boating and Fishing Forum > BOATING FORUMS > Dockside Chat
Reload this Page >

When does BRUISING become a doctor visit??

Notices

When does BRUISING become a doctor visit??

Old 11-26-2016, 10:51 AM
  #1  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default When does BRUISING become a doctor visit??

Bride tripped over the dog and hit furniture this past Monday, just before we went out of town...so no doctor visit. In the past 4 days the bruising has gone armpit to elbow and she has almost no use of her arm.

Bones seem to be fine, but is the impact to her shoulder muscles sufficient to limit movement to almost nil?

Hand warmth and color are normal, no bruising inside the armpit. What would a doctor be able to do for her (besides pain meds, which she is on)?

Is there any worst case scenario that could be happening?
Attached Images  
bamaboy473 is offline  
Old 11-26-2016, 10:53 AM
  #2  
Senior Member
 
Eastport205's Avatar
 
Join Date: Mar 2014
Location: Brick, NJ
Posts: 3,593
Default

I'd be concerned about blood clots , looks pretty nasty, I would go to the Dr. now
Eastport205 is offline  
Old 11-26-2016, 10:53 AM
  #3  
Senior Member
 
Join Date: Aug 2009
Location: Bright Side of the Moon
Posts: 3,559
Default

When does BRUISING become a doctor visit??


Now
Mine Now is offline  
Old 11-26-2016, 10:54 AM
  #4  
Senior Member
 
Join Date: Jul 2015
Location: New Hampshire
Posts: 1,648
Default

Agree, best case scenario is they say it is nothing and send you home. Worse case scenario could be much worse.....
doobs41378 is offline  
Old 11-26-2016, 11:15 AM
  #5  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default

She's kind of tough and doesn't want to do anything today (a true Bama girl!), but maybe tomorrow.

Her concern is not being able to move the arm without pain in the shoulder muscle. I remember the frog I got as a kid that caused similar loss of movement, and they were nothing in size compared to this one.

Mention of clots is a new one, and worthy of concern, but will a doc-in-the-box be able to determine anything, or is that an ER type of thing?
bamaboy473 is offline  
Old 11-26-2016, 11:34 AM
  #6  
Senior Member
 
Eastport205's Avatar
 
Join Date: Mar 2014
Location: Brick, NJ
Posts: 3,593
Default

Dude....you asked.....you got an answer, it might be nothing but a bruise, a nasty one or it could be worse (internal bleeding and stuff) let a Dr. figure it out.....today

You wouldn't forgive yourself if the delay caused more harm


ps let us know how you (she) makes out.
Eastport205 is offline  
Old 11-26-2016, 11:43 AM
  #7  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default

I hear you, and will let her know again. Are you in the medical field (since that would pack a lot of weight for your response)


will a doc-in-the-box be able to determine anything, or is that an ER type of thing?
bamaboy473 is offline  
Old 11-26-2016, 11:45 AM
  #8  
Senior Member
 
Eastport205's Avatar
 
Join Date: Mar 2014
Location: Brick, NJ
Posts: 3,593
Default

Originally Posted by bamaboy473 View Post
I hear you, and will let her know again. Are you in the medical field (since that would pack a lot of weight for your response)
No, my wife of 32 years was a nurse as is my girlfriend of 10 years, you learn some by talking shop with them all of those years..

The thing about the doc in the box, he'll probably send you for xrays anyway.
Sometimes your insurance company has a nurse hotline, maybe you can get a better direction from them.
Eastport205 is offline  
Old 11-26-2016, 11:53 AM
  #9  
Senior Member
 
Join Date: Oct 2009
Location: South Coast, MA
Posts: 6,938
Default

I took a fall last January and really messed up my shoulder......bruise looked eerily similar. Did nothing. Thirty days later was in ER with blood clots in my right lung.......ER Doc said if I didn't come in it could have been fatal. Take her to be checked out ...now.
Reely Nice GW is offline  
Old 11-26-2016, 11:55 AM
  #10  
Admirals Club Admiral's Club Member
 
Join Date: Nov 2008
Location: Somewhere in the middle of Michigan
Posts: 10,463
Default

If the bruising is getting larger and moving lower on the arm, there was almost certainly internal bleeding involved, which may have stopped by now. I've experienced the same thing with severe ankle sprains.

If she is experiencing loss of function, I'd get her to a doctor now.
yarcraft91 is offline  
Old 11-26-2016, 12:29 PM
  #11  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default

The bruising has been spreading for the second and third days, and seems to have stopped at the elbow. No doubt about the loss of function, so off to the doc we go after the game.
bamaboy473 is offline  
Old 11-26-2016, 12:36 PM
  #12  
Senior MemberCaptains Club Member
 
Join Date: Aug 2002
Location: St. Augustine, Fl
Posts: 21,862
Default

If the bruising is just changing colors, it is healing.

If it is spreading she is still leaking blood. I would be heading to the doctor if you think it is spreading and NO ASPIRIN OR BLOOD THINNERS..
Cracker is offline  
Old 11-26-2016, 01:06 PM
  #13  
Senior Member
 
Join Date: Nov 2011
Posts: 3,093
Default

Rick, get yours and your wife's bottom off the couch and get it checked out. The loss of use symptom is not something to take lightly.
MilesExpress is offline  
Old 11-26-2016, 01:10 PM
  #14  
Admirals Club Admiral's Club Member
 
Join Date: Jun 2009
Location: Amongst the FL fishies
Posts: 6,892
Default

If she has no us of the arm, shoulder is damaged. Best to get that looked at. Could be a muscle tear, tendon damage, etc . Start at the ER and get a referral for an Orthopedist
airbrush is online now  
Old 11-26-2016, 01:16 PM
  #15  
Senior Member
 
Join Date: Jan 2015
Posts: 981
Default

Originally Posted by Eastport205 View Post
I'd be concerned about blood clots , looks pretty nasty, I would go to the Dr. now
The bruising is probably normal because it follows gravity but it is the risk of a pulmonary embolism that is the real concern (although most are related to bruising in the lower extremities). My brother died of PE when he hurt his knee so if your wife encounters congestion or shortness of breath, get to the ER asap.
anonymous_coward is offline  
Old 11-26-2016, 02:22 PM
  #16  
Senior MemberCaptains Club Member
 
Join Date: Aug 2003
Location: Out west
Posts: 3,298
Default

bamaboy,

Check to see if you feel a good pulse in her hand. (Just upstream of her thumb) Compare to other side.

Do same at brachial artery. (just beside the biceps tendon on the little finger side at the elbow) Compare to other side.

Check range of motion of shoulder. Can she circumduct (travel all the way around her shoulder) like the other side?

Bruising is likely venous, but there is a slight chance it's actually leaking from the artery. If it is, the hematoma could eventually compress the nerves.

Take her in. They have x-rays and dopplers that can check pulses and establish a baseline. Like one other poster, I have seen a death from an upper extremity pulmonary embolus thrown into the lungs. It is exceptionally rare, but your wife is pretty bruised up.
dssmith is offline  
Old 11-26-2016, 04:05 PM
  #17  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default

She was adamant about not going tonight, but we'll be there first thing in the morning.
bamaboy473 is offline  
Old 11-26-2016, 04:26 PM
  #18  
Senior Member
 
Join Date: Feb 2013
Location: Eastern NC
Posts: 1,294
Default

ED visit. Soon.
No doc in the box for this one.
Fish_DOut is offline  
Old 11-26-2016, 04:30 PM
  #19  
Senior MemberCaptains Club Member
 
Join Date: Aug 2002
Location: Baltimore,Maryland
Posts: 5,574
Default

Does She have Fibro Myalgia?[May have spelled it wrong] My Wife has it.She brusies VERY easily...She can just bump into something and have a fair size bruise..If She fell into some Furniture,She would have one hell of a bruise. I think She should see a Dr. on that one though!
Lone Ranger is offline  
Old 11-26-2016, 05:12 PM
  #20  
Senior MemberCaptains Club Member
Thread Starter
 
Join Date: Dec 2007
Posts: 15,725
Default

We rarely go to doctors, so don't know protocol. Our guess is that we go to the doc in the box, and expect them to either diagnose/treat her, or send her to the ER. What is an ED visit?
bamaboy473 is offline  

Thread Tools
Search this Thread