Lower extremity edema

Introduction Some middle-aged women, after getting up in the morning, suddenly found that their tires were fat, and their eyes and face were slightly swollen, and the lower extremities had sunken edema or tightness. As the day goes by, it can gradually reduce the regression. Some healthy women have eye pain, back of the hand, foot or even double blistering, or accompanied by breast pain, pelvic weight, irritability, irritability, insomnia, in the week or half a month before menstruation. Neurological symptoms such as fatigue and headache.

Cause

1. Some people who are accustomed to "mouth weight" in their diet often have lower extremity edema.

2. After taking certain drugs, swells in the hands, hands and feet, and the edema will gradually disappear after stopping the drug.

an examination

Related inspection

Glomerular filtration fractional Doppler echocardiography

Detailed systemic examinations should be performed on patients with edema, as many systems, organs, and tissue disorders can cause edema. A systemic examination helps to understand the source and characteristics of edema and is helpful in diagnosis and differential diagnosis. Sit-up breathing, heart rate or pulse rate increase, heart enlargement, ventricular contraction or diastolic dysfunction, increased central venous pressure, large vein congestion, jugular vein engorgement, enlarged liver and spleen, etc., suggesting the presence of heart failure.

Differential diagnosis

Feet and edema: When the body increases too much water, it is edema. When the body weight increases, there will be eyelid edema, ankle or calf edema. If the edema of the foot is caused by heart disease, it is best to find it early. Press the tibia for 30 seconds in the direction of the bone. If there is no edema, it will return to its original shape. If there is a depression, it can be confirmed to be edema.

Diffuse edema of the lower extremities: edema begins first from the lower extremities, is diffuse, heart disease caused by various causes, and edema occurs when heart failure occurs.

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