Idiopathic Pedal Edema

Idiopathic Pedal edema Chief Complaints . A 27 yr old female has come with b/l pedal edema with rapid wt gain since 1 yr. No Associated SOB, chest pain,palpitations, ascites, jaundice, polyuria or Oliguria etc. No H/O HTan, T2DM, Thyroid disorder, substance abuse etc. Rest of the examinations are normal. Ix like CBC, LFT, RFT, sr electrolytes, TFT, Diabetic profile,24 hr urinary protein, urine routine examination, CXR, ECG, USG W/A, 2D ECHO, Doppler study of lower limb vessels were done and all were normal.Her 24 hr urinary cortisol is also normal. Now I have started low dose Diuretic along with advice for wt reduction. Doppler study of lower limb vessels, shown in the video. Link below.. https://youtu.be/1uxuG2whYGI

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Bilateral pedal edema - a very common finding in many middle aged Indians Commonly ignored by patients Etiology - ? Cardiac , ? Lymphoedema Renal etiology is ruled out because there is absent urinary protein Liver etiology is ruled out as liver function test, total albumin is normal Lymphoedema - this patient has pitting Edema, in early phase all lymphoedema are pitting Edema, it only in later stage it becomes nonpitting Adv 2 D Echo Peripheral smear for microfilaria Tip - This type of edema respond very quickly to Tablet lasilactone half tablet daily, occasionally stepped up to one tablet daily Lasilactone containing fixed dose of spironolactone and furosemide

2D echo is normal sir, no rwma, no stenotic Or regurgitating lesion, ef 58%
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PS COMMENT,ESR,RA FACTOR,CRP, ASO, IRON PROFILE,URINE MICRO ALBUMIN, THYROID PROFILE,MICRO FILARIA... CAN BE BENEFICIAL... IF OVER WEIGHT THEN FOCUS ON THE SAME,

Thanks Dr. Dinesh Gupta
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? RENAL PATHOLOGY.. ? CARDIAC PATHOLOGY.. ? LYMPH PATHOLOGY.. NEED'S.. KFT .. ECG..2D ECHO STUDY.. X-RAY STUDY..

Everything is normal sir.. I have attached the report
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PITTING EDEMA RFT WNL LFT WNL TFT WNL LYMPHANGIOGRAPHY LYMPHOEDEMA? PRIMARY LYMPHEDEMA?

PUTTING EDEMA RFT WNL LFT WNL TFT WNL LYMPHANGIOGRAPHY LYMPHEDEMA? PRIMARY LYMPHEDEMA?

T3 T4 and TSH level check once..

Checked twice.. It's normal
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