Bilateral leg swelling: Difference between revisions
| Line 35: | Line 35: | ||
==Management== | ==Management== | ||
*Address underlying disease process. | |||
*Solitary pedal edema need not to be treated with diuretics. | |||
*Always review medication list before discharging patients. | |||
==Disposition== | ==Disposition== | ||
Revision as of 20:04, 23 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
Management
- Address underlying disease process.
- Solitary pedal edema need not to be treated with diuretics.
- Always review medication list before discharging patients.