Bilateral leg swelling: Difference between revisions
| Line 26: | Line 26: | ||
*[[Pretibial myxedema]] | *[[Pretibial myxedema]] | ||
*[[Renal failure]] | *[[Renal failure]] | ||
*[[Liver failure]] | |||
*[[DVT]] | |||
==Evaluation== | ==Evaluation== | ||
Revision as of 11:20, 4 December 2016
Background
- Definition: existence of the excess fluid in the lower extremity resulting in swelling of the feet and extending upward
- Further classified as pitting (depress-able) and non-pitting
Causes
- Increased hydrostatic pressure
- Decreased oncotic pressure
- Increased capillary permeability
- Lymphatic obstruction
Clinical Features
- Pedal edema
Differential Diagnosis
- Gravitational
- Venous insufufficiency/thrombophlebitis
- Drugs
- CHF
- Lymphedema
- Pretibial myxedema
- Renal failure
- Liver failure
- DVT
Evaluation
Management
- Treatment is based on addressing underlying disease process
- Solitary pedal edema need not to be treated with diuretics
Disposition
- If no respiratory symptoms, most patients may be safely discharged home
- Patients should be followed up in medical clinic for further investigation and care