Please enable JavaScript.
Coggle requires JavaScript to display documents.
60 Yr M with progressive bilateral lower extremity edema for 1 Mnth…
60 Yr M with progressive bilateral lower extremity edema for 1 Mnth
Systemic
Pitting
Non-Elevated JVP
Renal
Nephrotic Syndrome (Hypoalbuminemia)
Hx: Frothy/Foamy urine (proteinuria) hypercholesterolemia PE:
Nephritic Syndrome
S: Hematuria
Hepatic
Cirrhosis
Hx: Alcohol intake, risk factors for viral hep PE: Splenomegaly, ascites, jaundice, varices
Others
Drug Induced
CCB, anti-inflammatory, TZDs (DM), corticosteroids, sex hormones
Sleep Apnea
Hx: Snoring at night, daytime sleepiness PE: Obestiy, large tonsils, short neck
Sepsis
Hx: fever
Angioedema
Hx: Fm history of angioedema. Exposure to ACE inhibitor PE: Periorbital edema
GI (hypoalbuminemia)
Inflammatory Bowel Disease
Hx: Diarrhea, blood stool
Celiac Disease
Hx: Diarrhea, blood stool
Elevated JVP
Cardiac
Pulmonary Hypertension
S: Dyspnea, chest pain PE: Loud P2 on auscultation, Palpable P2 on palpation
Heart Failure
S: Exertional dyspnea, orthopnea PE: Cardiomegaly, additional heart sounds (3rd or 4th), wheezes on asuculation
Restrictive cardiomyopathy
Constrictive Pericarditis
Pericardial Effusion
Renal
End Stage Renal Failure
S: Oliguria, hematuria PE: Elevated JVP
Non Pitting
Thyroid
Hypothyrodism/Myxedema
S: Cold intolerance, constipation, weight gain PE: Periorbital swelling
Graves (Hyperthyroid)
Lipedema (r)
Obesity
Localized
Pitting
Chronic Venous Insufficiency
S: painful, worse @ end of day PE: Stasis Dermatitis (dark, brown hyperpigmentation), varicose veins
Non-Pitting
Lymphedema
Secondary
S: Painless Hx: cancer, surgery, radiotherapy, infection PE: Non-pitting edema
Primary
Jimin Suh Team 6
TeamLEAD16