Concluded Case

A 35 year old male having pitting edema since 7 days with no any relevant history. What is the diagnosis and treatment ?

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Pitting oedema of foot and leg without specific history like trauma , infection causes may be A. Deep vein thrombosis B. Chronic venous insufficiency C. Varicose veins D. Chronic heart failure E. Lymphoedema This pt need to be clinically evaluated to findbout the cause Colour Doppler to see any DVT, varicose veins or chronic venous insufficiency Echocardiography to see any chronic heart failure. Xray to rule out bonny trauma Antibiotic broad spectrum

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Root cause of pitting oedema should be concluded with... * Renal functio. Test. * S.Uric acid.. * Liver function test. Thyroid profile HB level.. I think on the basis of investigations impressions...hou will finx a way of final line of treatment.

Pitting oedema of foot and leg without specific history like trauma , infection causes may be A. Deep vein thrombosis B. Chronic venous insufficiency C. Varicose veins D. Chronic heart failure E. Lymphoedema This pt need to be clinically evaluated to findbout the cause Colour Doppler to see any DVT, varicose veins or chronic venous insufficiency Echocardiography to see any chronic heart failure. Xray to rule out bonny trauma Antibiotic broad spectrum

If it is unilateral lower limb oedema Causes can be Deep vein thrombosis Lymphoedema Cellulitis Causes of bilateral lower limb oedema Congestive cardiac failure Liver cell failure Renal failure Hypoproteinemia

Physical examination proper... Looks like gouty Arthritis. Tab Predmet 16mg- ODPC 7 day's then 8mg- ODPC 6 days then Stop. Tab Pan40-ODAC 15 days. Tab Zycolchin(0.5)- QDS 10 days. Inv: blood for Hb TC DC and ESR FBG PPBG Uric Acid TSH LFT urea Cr. Review after 7 days with reports/ERSOS.

Pitting Edema.. signfy reduced plasma oncotic pressure.. May be associated with renal injur. Liver injury. Heart failure or anemia. Hypothyroidsm. This need CBC. liver function test.. Renal function test TSH.

Pitting edema is a general problem caused by a variety of issues such as: heart valve problems low protein levels deep venous thrombosis (DVT) — blood clots, usually in the legs severe lung disease congestive heart failure venous insufficiency liver disease kidney failure obesity pregnancy administration of intravenous fluids medications hot weather

Dependent oedema feet History is insufficient Detail investigations are needed We can guess any thing from renal conditions to cardiac to peripheral vascular

Thanx dr Pushkar ji Bhomia
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As picture is showing localised oedema with regular margins and redness. History is of short duration however rule out trauma n xray foot. History of pain, fever , is important. Without proper history treat with analgesics n foot rest .

Thank you doctor
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D/D Renal disorder Cardiac disease Liver disease Hypoproteinemia Stasis oedema

Hyperuricemia,liver disorder,renal disease,,cardiac disease

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