Leg edema is a common problem in older patients, with a wide range of possible causes. The diagnosis can be narrowed by categorizing the edema according to its duration (acute or chronic), distribution (unilateral or bilateral), and accompanying symptoms (such as dyspnea, pain, thickening of skin, and pigmentation).
Bilateral leg edema is swelling in both the legs which also include feet and ankles. Usually edema is painless. ... Congestive cardiac failure: It is one of the most common causes for bilateral swelling of lower limb. The right side of heart does not work properly in congestive cardiac failure. Blood from the body enters into the right side of ...
Physical Examination. Key elements of the physical examination include . Body mass index. Obesity is associated with sleep apnea and venous insufficiency.18–20 Distribution of edema: unilateral leg edema is generally due to a local cause such as deep vein thrombosis, venous insufficiency, or lymphedema.Bilateral edema can be due to a local cause or systemic disease, such as heart failure or ...
When treating excessive lower extremity drainage due to edema, complete decongestive therapy can go a long way to resolve a “weepy leg.” The management of excessive lower extremity drainage is often difficult.
A 65 year old man described swelling in both legs, which had worsened over six weeks. He also reported vague abdominal discomfort and tiredness. Examination of the lower limbs revealed pitting oedema bilaterally up to the groin, but no erythema, tenderness, or warmth. The patient was otherwise systemically well with normal heart sounds and a clear chest examination.
His legs are notable for 1-2+ bilateral pitting edema with a negative Homan’s sign and no erythema. An EKG is performed and demonstrates atrial fibrillation at a rate of 128 beats per minute ...
Edema occurs when a large amount of fluid accumulates in the circulatory system. Edema is common in people above age 60, but anyone can be affected by it. Exercise-Induced Edema in Lower Legs | Livestrong.com
A R Edema June 30, 2011 May 23, 2012 Causes of Fluid Leaking Out of Legs, Fluid Leaking from Legs, Treatment for Fluid Leaking From Legs 10 Comments Edema is a condition wherein there is an abnormal collection of liquid substances beneath the skin and cavities of the body.
Feel the leg for local causes of swelling, pain and tenderness Examine for signs of acute lower limb ischemia (sudden obstruction of arterial blood supply from thrombosis (clot) or embolism (plug) - e.g. pitting edema of foot, absent pulses, cool pale skin, loss of hair on lower feet and legs, ulcers on foot, gangrene of skin on toes.
On assessment, 3+ pitting edema noted in lower extremities, bilateral crackles noted through out lung fields, hands and abdomen are swollen, and slight jugular distention noted. Lab and Diagnostic work shows: BNAT 1824, K+5.0, Creatinine 1.8, BUN 21, chest x-ray preliminary results show possible bilateral pleural effusions, and echo-cardiogram ...