Mr L is a 60 year old male who presents with progressive bilateral lower extremity oedema for the past month
Varicose veins / venous stasis
CHF
Lipedema
Cirrhosis
Nephrotic syndrome
Hypothyroidism
Venous thrombosis / obstruction
Medications
Anaphylaxis
Lymphatic obstruction
Protein-losing enteropathy
Malnutrition
new medication?
exposure to latex / chemicals?
Chest discomfort, shortness of breath, orthopnea, or paroxysmal nocturnal dyspnea
Liver failure
Alcohol abuse
Unprotected sex (hepatitis B and C)
Use of injection drugs (hepatitis C)
Use of illicit drugs (eg, mushrooms or Ecstasy)
Abdominal swelling (ascites)
Pulmonary embolism
Sedentary position for a prolonged time (eg, bedridden, long travel)?
Smoking
History of blood clots
Use of oral contraceptives, especially in smokers