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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Old Aged, Developed Large Hematoma In Upper Biceps Area After Acute Hemarthrosis Of Shoulder, Stopped Warfarin, Blood Migrated Into Arm , Chest, Swelling

My 84 year old mother developed a large hematoma in the upper biceps area after acute hemarthrosis of the shoulder a week ago. The doctor took her off of Warfarin (prescribed for deep vein thrombosis) immediately and over the next several days the blood has migrated into her arm and chest in spectacular colours! This morning it appears that the hematoma is swelling again. Her upper arm has gone from 13 inches at 2:00 with a 2.5 x 1.5 inch swelling to 13.75 inches with a 3.25 inch swelling at 5:30. Should she be concerned, or should she just ice it and call the doctor in the morning?
Mon, 4 Nov 2013
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Cardiologist,  's  Response
Dear Sir/ Madam
Thanks for writing to us.
Definitely the way it's size is increasing, it seems to be fresh bleed. Since she is predisposed to bleeding it is more likely to be important than trivial. I would recommend you to visit ER (emergency room). Any active bleed is an emergency in 84 years old lady. She should ICE the area and do visit ER.
Sincerely
Sukhvinder
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Old Aged, Developed Large Hematoma In Upper Biceps Area After Acute Hemarthrosis Of Shoulder, Stopped Warfarin, Blood Migrated Into Arm , Chest, Swelling

Dear Sir/ Madam Thanks for writing to us. Definitely the way it s size is increasing, it seems to be fresh bleed. Since she is predisposed to bleeding it is more likely to be important than trivial. I would recommend you to visit ER (emergency room). Any active bleed is an emergency in 84 years old lady. She should ICE the area and do visit ER. Sincerely Sukhvinder