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a 60 year old male who presents with progressive bilateral lower extremity…

- - - - anasarca with ascites and edema of the abdominal wall, raised JVP, dizzy, fatigue, weakness, irregular HR
    - - erythematous, scaling, and eczematous patches, loss of hair. Acute forms may present with severely inflamed weeping plaques, vesiculation, and crusting.
        calf pain., calf tenderness.
        a dull ache or heaviness in your legs that gets worse when you stand
  - - - distended abdominal wall veins and splenomegaly, ascities, jaundice, pruritus, signs of upper gastrointestinal bleeding (hematemesis, melena, hematochezia), fatigue, easy bruisability, lower extremity edema, fever, weight loss, diarrhea, pruritus, increasing abdominal girth, confusion, or sleep disturbances
    - - Nephritic syndrome
        
        Hematuria
        
        Oliguria
        
        Azotemia
        
        Hypertension
      - Nephrotic syndrome
        
        Massive proteinuria
        
        Hypoalbuminemia
        
        Edema
        
        Hyperlipidemia/hyperlipiduria
    - - protein-losing enteropathy (e.g.
        inflammatory bowel dx, celiac dx) or malnutrition
        can lead to hypoalbuminaemia and hence edema.
- - - - likely to improve with elevation and worsen with dependency
    - - ●Pain out of proportion to apparent injury (early and common finding)
        ●Persistent deep ache or burning pain
        ●Paresthesias
    - - pelvic tumor