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Diagnostic Tests for Ankle swelling

Diagnostic Test list for Ankle swelling:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Ankle swelling includes:

  • Physical examination
    • Noting bruising, swelling, deformity, tenderness and reduced range of movement of ankle
    • Look for nail changes that suggest psoriasis
  • If swelling is due to edema , is it pitting (skin is indented when pressure is applied) or non-pitting - can assist in determining cause of edema.
  • If swelling is due to edema , examine for signs of possible causes - e.g. congestive cardiac failure , liver cirrhosis , nephritic syndrome, deep venous thrombosis , hypothyroidism and varicose veins.
  • Blood tests
    • Full blood count - looking for infection suggesting septic arthritis.
    • ESR - looking for inflammation.
    • Uric acid - may be elevated in gout.
    • Rheumatoid factor , ANA and ENA antibodies , CH50 and CH100 , C3, C4
    • HLA-B27 - can help diagnose or exclude Rheumatoid arthritis, lupus, ankylosing spondylitis.
    • Viral tests - e.g. rubella , Ross river virus , cytomegalovirus , hepatitis B and HIV.
    • Borrelia burgdorferi antibodies - if suspect recent tick bite.
    • Thyroid function test - can detect hypothyroidism as cause of ankle edema.
    • Liver function test - can diagnose cirrhosis and hypoalbuminaemia which may be a cause of ankle edema.
  • Urine tests - increased protein in urine can help detect Nephrotic syndrome which may be a cause of ankle edema.
  • Stool culture - for bacteria that may cause reactive arthritis.
  • Genital (urethral or cervical) swab - if suspect Chlamydia or gonorrhea.
  • Radiology investigations
    • X-ray of ankle
    • Ultrasound - can may assist in detecting blood or fluid accumulation.
    • Radionuclide scan - may help detect pathology not found on x-ray e.g. bone tumors, bone infection or stress fracture.
    • Venous Ultrasound study - can assist in detecting deep venous thrombosis.

Conditions listing medical symptoms: Ankle swelling:

The following list of conditions have 'Ankle swelling' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Ankle swelling or choose View All.

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