Bilateral leg swelling
Revision as of 11:22, 3 November 2016 by Rossdonaldson1 (talk | contribs)
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)