Differential Diagnoses for Pitting Edema???

[mac_kin]

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🙂

 

[KeyzerSoze]

This thread will probably be locked.

Ruptured medial head of gastrocnemius.
http://emedicine.medscape.com/article/91687-overview

 

[Dirt]

Bad case of the doyourownhomeworksies. Take 1 textbook and call me in the morning.

 

[45408]

Sounds like congestive heart failure. Admit to medicine.

 

[TobiasFish]

Have you thought about:

-Local Primary Tumor or secondary mets?
-Lymphatic obstruction
-Local injury.

I've posted some notes on the subject to help:

EDEMA

 

[reedman]

anyone think to do a D-dimer? ultrasound is not 100% sensitive.

 

[mmmcdowe]

This guy is popping fluorquinolones.

 

[thechad]

This guy is popping fluorquinolones.

Yes, fluoroquinolones are all the rage on the street nowadays. Crazy kids...

 

[mmmcdowe]

Yes, fluoroquinolones are all the rage on the street nowadays. Crazy kids...

People will snort anything 😀 I saw a guy grind up peppermints and snort them.

 

[werd]

anyone think to do a D-dimer? ultrasound is not 100% sensitive.

d-dimer is so non-specific; in the setting of a negative ultrasound it's probably not worth doing.

cellulitis, lymphangitis, lymphedema, soft tissue injury, less likely migratory thromboplebitis, gout, septic arthritis. depending on how painful/swollen it is, possibly mri vs. treating empirically with rest and nsaids vs. tapping a joint effusion if there is one. which diagnoses are worth pursuing will probably depend on the details of a good history and physical. cheers.

 

[reedman]

^ i guess i was thinking that a negative D-dimer is better for ruling out DVT than a negative ultrasound, but i really have no idea how good an ultrasound is in practice.