Interní Med. 2019; 21(1): 55-60 [Med. praxi. 2018;15(4):182-188]

Patient with lower limb swelling – frequent problem in GP surgery

MUDr. Miroslav Chochola, CSc.
II. interní klinika kardiologie a angiologie VFN a 1. LF UK, Praha

Lower limb edema is a frequently encountered problem in clinical practice, it can be a manifestation of many pathophysiological conditions in the development of which a number of factors are involved. They affect the pressure balance between the vascular bed and the interstitium. Chronic lower limb edema may be associated with systemic disease or may have a local cause, confined only to the lower limbs. In the clinical practice are important differentiate chronic venous inufficiency, deep vein trombosis and lymfatic edema from other possible causes. This review article focuses on quick orientation in the etiology, differential diagnosis and treatment of edema of lower limbs.

Keywords: edema, pathogenesis, Starling´s principle, lymfedema, phlebedema, lipedema

Published: February 21, 2019  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Chochola M. Patient with lower limb swelling – frequent problem in GP surgery. Interní Med. 2019;21(1):55-60.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Kittnar O, et al. Lékařská fyziologie. 1. vydání. Praha: Grada, 2011: 790.
    2. Povýšil C, et al. Obecná patologie. 1. vydání. Praha: Galén, 2011: 290.
    3. Weiss, et al. Nykturie: diagnóza, klasifikace a léčba. Urol. List 2008; 6(1): 12-19.
    4. Yaqoob M. Water, electrolytes and acid-base balance. Ve Kumar a Clark: Clinical Medicine, London: Saunders, 2002: 667-678.
    5. Mera M. Nefrotický syndrom. Urologie pro praxi [online]. 2010; 11(3): 140-143.
    6. Tisdale MJ. Cachexia in cancer patients. Nature Reviews 2002; 2: 862-871. Go to original source... Go to PubMed...
    7. Fogari R. Ankle oedema and sympathetic activation. Drugs. 2005; 65(Suppl. 2): 21-27. Go to original source... Go to PubMed...
    8. de la Sierra A. Mitigation of calcium channel blocker-related oedema in hypertension by antagonists of the renin-angiotenzin system. J Hum Hypertens 2009; 23: 503-511. Go to original source... Go to PubMed...
    9. Braden GL, et al. Acute renal failure and hyperkalaemia associated with cyclooxygenase-2 inhibitors. Nephrol Dial Transplant 2004; 19: 1149-1153. Go to original source...
    10. Weir MR. Renal effects of nonselective NSAIDs and coxibs. Cleve Clin J Med 2002; 69(Suppl. 1): 153-158. Go to original source...
    11. Musil D. Diagnostický a terapeutický algoritmus při otocích dolních končetin. Interní Med. 2005; 7(6): 296-300.
    12. Navrátilová Z. Diferenciální diagnostika hyperosmolárních otoků dolních končetin. Med. Pro Praxi 2006; 6: 281-283.
    13. Klauzová K. Diagnostika a léčba lymfedému. Interní Med. 2010; 12(1): 36-40.
    14. Pospíšilová A. Chronické otoky na dolních končetinách a jejich důsledky Interní Med. 2012; 14(10): 373-377.
    15. Tsoukanov YT, Tsoukanov AY, Nikolaychuk A. Great saphenous vein transitory reflux in patients with symptoms related to chronic venous disorders, but without visible signs (C0s), and its correction with MPFF treatment. Phlebolymphology. 2015; 22: 18-24. Go to original source...
    16. Maggioli A. Chronic venous disorders: pharmacological and clinical aspects of micronized purified flavonoid fraction. Phlebolymphology. 2016; 23(2): 82-91.
    17. Management of chronic venous disorders of the lower limbs: Guidelines according to scientific evidence. Chapter 8. Venoactive drugs. International Angiology. 2018; 37(3): 232-254.

    Return to the content


    Internal Medicine for Practice

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.