how to examine Lower limbs specially edema

7. embolisation

8. Varicose veins Venous ulcers

9. Hemosidrin deposition

10. Erythema nodosum

11. vasculitis

21. Charcot joint

24. Factors affecting interstitial
fluid formation and drainage

26.  Abnormal accumulation of fluid in the interstitial
tissue due to disturbed mechanisms of interstitial
fluid regulation

27. DVT
Unilateral

29. cellulitis

30. lymphoedema

31.  Pitting
 Non pitting

32. • Renal
• Cardiac
• Hepatic
• Nutrional

35. • Myxoedema
• Lymphoedema
• Angioneuritic
oedema

37.  Unilateral vs Bilateral
 Dependent or not
 Pitting or not
 Level

39.  Sacral oedema?

43.  Tarsal
 Medial mallulous
 Chin of tibia
 Thigh
 Anterior ab

44.  Bilateral
 Painless
 Pitting
 Dependent
 Before ascitis

45.  Ascitis before onset of oedema
 In cases of
 Pericaerdial effusion
 Constrective pericarditis
 Tricuspid regergue or Tricaspid stenosis

47.  Begin by eye lid buffness
 Generalized
 Pitting
 More at the morning

49. oliguria
Hypertension
hematuria
Smoky
urine(casts)
Heavy
proteinuria
Hypoproteinemi
a
Oedema
Hypercholesteroloem
ia

50.  Associated with signs and
symptoms of LCF

54.  DVT
 Lymphoedema (eg; post mastectomy)
 Varicose veins
 Orthostatic oedema
 Angioneuretic oedema
 Cellulitis

55.  DVT
 Cellulitis
 Lymphoedema
 trauma

56.  CCB
 Steroids
 OCPs
 NSAIDs

57.  Up to 3 litres of excess interstitial fluid can accumulate
in the body before oedema is clinically detectable

58. Thank
you