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Bilateral leg swelling

Revision as of 22:32, 11 May 2015 by Tomfadial (talk | contribs) (Added algorithms for lower extremity edema)

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Background

Mechanisms of Pedal Edema

Increased hydrostatic pressure
Decreased oncotic pressure
Increased capillary permeability
Lymphatic obstruction

Diagnosis

Pitting pedal edema

Work-Up

CBC
Chem 7
PT vs albumin (liver)
ECG
CXR
UA (nephrotic)

Differential Diagnosis

Differential Diagnosis of Pedal Edema

Gravitational
Venous insufufficiency/thrombophlebitis
Drugs
- NSAIDS
- Birth control
- Steroids
CHF
Lymphedema
Pretibial myxedema

Management

Disposition

See Also

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Authors: