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Edema Pathophysiology
1. Intro
• LE Edema
• Life threatening
• Take-away 2 things
• 5 part approach to LEedema
• Ins-Outs Approach to building a DDx
• 6 cards for etio
• Use 2 cases to put it together
• Won’t Talk about Dx or MGMT, as it varies
4. LORDE 68 yo obese “royal”
who sits on the throne
all day comes in annual
appt
24 yo smoker flying to
one of those “perfect
places” comes in for
leg pain
46 yo w/ fatigued
obese comes in bc he
recently fell asleep at a
“Green Light”
Lateralize BiL Uni Bilat
Onset Chronic Acute Chronic
Rx None None Diuretics
Dependent Improves with leg
elevation
Elevating can relieve
pain
No change with
elevation
Evaluate Pitting
Mild aching
Brown discoloration
over ankles and lower
legs
Pitting
PainFUL
Warm
Erythematous
Mild pitting
Painless
CVI affects 30% pop PHTN (OSA) – often
Get a good H&P
5 Musts
Localize – UL, BL
Onset – days, months, years
Rx – several Rx cause edema
Dep – does it improve with elevation
Eval – pitting? Nonpitt? Temperature? Skin findings?