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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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sábado, 24 de junio de 2017

Bilateral leg edema

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emDocs - June 19, 2017 - Authors: Weymouth W and Ong D
Edited by: Koyfman A and Long B
"Take Home Points
  • Major organ systems involved with peripheral edema include the heart, kidneys, and liver.
  • History and exam are the most important aspects of the evaluation of lower extremity edema.
  • Look for signs of cirrhosis and ascites. If ascites is present, obtain LFTs and perform paracentesis.
  • Consider a BNP or bedside ultrasound (if clinically indicated), BMP, and a UA to evaluate for heart failure and nephrotic syndrome.
  • Consider other tests as indicated (i.e. history of malignancy-DVT ultrasound, woman of childbearing age-pregnancy test, etc.)"