Bilateral leg swelling: Difference between revisions
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==Background== | ==Background== | ||
[[File:Mechanisms of Lower Extremity Edema.png|thumb|Mechanisms of Pedal Edema]] | [[File:Mechanisms of Lower Extremity Edema.png|thumb|Mechanisms of Pedal Edema]] | ||
*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 | *Increased hydrostatic pressure | ||
*Decreased oncotic pressure | *Decreased oncotic pressure | ||
Revision as of 11:22, 3 November 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
Evaluation
- CBC
- Chem 7
- PT vs albumin (liver)
- ECG
- CXR
- UA (nephrotic)
