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Edema Pathophysiology

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Become a Lorde of Edema

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Edema Pathophysiology

  1. 1. Intro • LE Edema • Life threatening • Take-away 2 things • 5 part approach to LEedema • Ins-Outs Approach to building a DDx • 6 cards for etio • Use 2 cases to put it together • Won’t Talk about Dx or MGMT, as it varies
  2. 2. •Localize •Onset •Rx •Dependent •Evaluate Ely, et al. Approach to leg edema of unclear etiology. J Am Board Fam Med 2006
  3. 3. Lymphatic Drainage Venous Drainage Protein Gradient Hydrostatic Pressure • CHF • Pulm. HTN (OSA) • Rx: Diuretics, CCB Permeability • Cellulitis • Allergic Reaction • Elephantiasis • Pelvic/Abdominal Obstruction • Chronic Venous Insufficiency • DVT • Compartment Synd. ↑ Loss • Nephrotic Synd. • Protein-Loss Enteropathy ↓ Gain • Malnutrition • Liver Disease
  4. 4. LORDE 68 yo obese “royal” who sits on the throne all day comes in annual appt 24 yo smoker flying to one of those “perfect places” comes in for leg pain 46 yo w/ fatigued obese comes in bc he recently fell asleep at a “Green Light” Lateralize BiL Uni Bilat Onset Chronic Acute Chronic Rx None None Diuretics Dependent Improves with leg elevation Elevating can relieve pain No change with elevation Evaluate Pitting Mild aching Brown discoloration over ankles and lower legs Pitting PainFUL Warm Erythematous Mild pitting Painless CVI affects 30% pop PHTN (OSA) – often
  5. 5. Lymphatic Drainage Venous Drainage Protein Gradient PermeabilityHydrostatic Pressure

Become a Lorde of Edema

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