Diferencia entre revisiones de «Bilateral leg swelling»
| Línea 40: | Línea 40: | ||
==Disposition== | ==Disposition== | ||
*Most patients may be safely discharged home. | *Most patients may be safely discharged home. | ||
*Patients should be followed up in medical clinic for further investigation and care. | **Patients should be followed up in medical clinic for further investigation and care. | ||
==See Also== | ==See Also== | ||
Revisión del 11:18 4 dic 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
- Treatment is based on addressing underlying disease process
- Solitary pedal edema need not to be treated with diuretics
Disposition
- Most patients may be safely discharged home.
- Patients should be followed up in medical clinic for further investigation and care.