Peripheral edema

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Peripheral edema Classification and external resources

WikiDoc Resources for Peripheral edema
Articles
Most recent articles on Peripheral edema Most cited articles on Peripheral edema Review articles on Peripheral edema Articles on Peripheral edema in N Eng J Med, Lancet, BMJ
Media
Powerpoint slides on Peripheral edema Images of Peripheral edema Photos of Peripheral edema Podcasts & MP3s on Peripheral edema Videos on Peripheral edema
Evidence Based Medicine
Cochrane Collaboration on Peripheral edema Bandolier on Peripheral edema TRIP on Peripheral edema
Clinical Trials
Ongoing Trials on Peripheral edema at Clinical Trials.gov Trial results on Peripheral edema Clinical Trials on Peripheral edema at Google
Guidelines / Policies / Govt
US National Guidelines Clearinghouse on Peripheral edema NICE Guidance on Peripheral edema NHS PRODIGY Guidance FDA on Peripheral edema CDC on Peripheral edema
Books
Books on Peripheral edema
News
Peripheral edema in the news Be alerted to news on Peripheral edema News trends on Peripheral edema
Commentary
Blogs on Peripheral edema
Definitions
Definitions of Peripheral edema
Patient Resources / Community
Patient resources on Peripheral edema Discussion groups on Peripheral edema Patient Handouts on Peripheral edema Directions to Hospitals Treating Peripheral edema Risk calculators and risk factors for Peripheral edema
Healthcare Provider Resources
Symptoms of Peripheral edema Causes & Risk Factors for Peripheral edema Diagnostic studies for Peripheral edema Treatment of Peripheral edema
Continuing Medical Education (CME)
CME Programs on Peripheral edema
International
Peripheral edema en Espanol Peripheral edema en Francais
Businness
Peripheral edema in the Marketplace Patents on Peripheral edema
Experimental / Informatics
List of terms related to Peripheral edema

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Competent venous valves, intermittent leg muscle contraction and respiration is required by the heart to support normal venous blood return. When these fail, venous insufficency and edema occur. Edema can occur in 2 forms: pitting and nonpitting. Pitting occurs when there is fluid movement when pressure is applied. Nonpitting is swelling of the tissue itself, not an excess of fluid surrounding the tissue.

Epidemiology and Demographics

• 25% of the general population suffers from chronic venous insufficency

Diagnosis

History and Symptoms

• History should include:

• DVT risk factors
• time lapse
• other associated symptoms
• unilateral vs. bilateral
• pitting and/or non-pitting

Laboratory Findings

• Labs include:

• blood cultures
• BUN / creatinine
• CBC
• coagulation
• electrolytes
• LFTs
• serum albumin
• thyroid function tests
• urinalysis

Chest X Ray

• Chest X-Ray may indicate pulmonary edema and/or cardiomegaly

Echocardiography or Ultrasound

• Duplex ultrasound for DVT
• Echocardiography for EF in patients with CHF

Other Diagnostic Studies

• liver biopsy for cirrhosis

Differential Diagnosis

In alphabetical order: ^{[1] [1]}

• Cellulitis
• CHF
• Cirrhosis
• Constrictive pericarditis
• DVT
• Nephrotic Syndrome
• Venous insufficiency

Treatment

Acute Pharmacotherapies

• Congestive heart failure: ACE inhibitors, beta blockers, digoxin

Chronic Pharmacotherapies

• DVT: Anticoagulation with unfractionated heparin, low molecular weight heparin / warfarin for 3-6 months

Indications for Surgery

• Nephrotic syndrome: transplant in adult patients may be necessary
• Cirrhosis: liver transplant may be necessary

Additional therapies

• Venous insufficiency: Leg elevation, compression stockings, minimize time standing
• Cellulitis: extremity elevation
• CHF: Salt restrictions
• Cirrhosis: Diuretics & low salt diet

References

v • d • e WikiDoc Research Resources for Peripheral edema
Articles on Peripheral edema	Most recent articles on Peripheral edema • Most cited articles on Peripheral edema • Review articles on Peripheral edema • Articles on Peripheral edema in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Peripheral edema	Powerpoint slides on Peripheral edema • Images of Peripheral edema • Photos of Peripheral edema • Podcasts & MP3s on Peripheral edema • Videos on Peripheral edema
Evidence Based Medicine Regarding Peripheral edema	Cochrane Collaboration on Peripheral edema • Bandolier on Peripheral edema • TRIP on Peripheral edema
Cost Effectiveness of Peripheral edema	Cost Effectiveness of Peripheral edema
Clinical Trials Involving Peripheral edema	Ongoing Trials on Peripheral edema at Clinical Trials.gov • Trial results on Peripheral edema • Clinical Trials on Peripheral edema at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Peripheral edema	US National Guidelines Clearinghouse on Peripheral edema • NICE Guidance on Peripheral edema • NHS PRODIGY Guidance • FDA on Peripheral edema • CDC on Peripheral edema
Textbook Information on Peripheral edema	Books and Textbook Information on Peripheral edema
Pharmacology Resources on Peripheral edema	Dosing of Peripheral edema • Drug interactions with Peripheral edema • Side effects of Peripheral edema • Allergic reactions to Peripheral edema • Overdose information on Peripheral edema • Carcinogenicity information on Peripheral edema • Peripheral edema in pregnancy • Pharmacokinetics of Peripheral edema •
Genetics, Pharmacogenomics, and Proteinomics of Peripheral edema	Genetics of Peripheral edema • Pharmacogenomics of Peripheral edema • Proteomics of Peripheral edema
Newstories on Peripheral edema	Peripheral edema in the news • Be alerted to news on Peripheral edema • News trends on Peripheral edema
Commentary on Peripheral edema	Blogs on Peripheral edema
Patient Resources on Peripheral edema	Patient resources on Peripheral edema • Discussion groups on Peripheral edema • Patient Handouts on Peripheral edema • Directions to Hospitals Treating Peripheral edema • Risk calculators and risk factors for Peripheral edema
Healthcare Provider Resources on Peripheral edema	Symptoms of Peripheral edema • Causes & Risk Factors for Peripheral edema • Diagnostic studies for Peripheral edema • Treatment of Peripheral edema
Continuing Medical Education (CME) Programs on Peripheral edema	CME Programs on Peripheral edema
International Resources on Peripheral edema	Peripheral edema en Espanol • Peripheral edema en Francais
Business Resources on Peripheral edema	Peripheral edema in the Marketplace • Patents on Peripheral edema
Informatics Resources on Peripheral edema	List of terms related to Peripheral edema

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .