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.)"