An Approach to Peripheral Edema

[@DS105384]

Another great video - thanks again. It was great after seeing a pregnant pt in the ED with possible DVT during the week to use this as a revision tool to make sure I didn't miss anything! These are super handy videos as a final year medical student in Australia.

[@Deadioan196]

So glad You are back Dr Eric:)

[@menpagnaroat1269]

Dear Dr. Eric, thank you very much from Cambodia for sharing your great lectures. I highly appreciate your approach to any topic/problem from understanding its physiology and pathophysiology.

[@abdullahsaleh4231]

✅👍🏼

Muchas gracias por tus videos. Son extremadamente buenos. Saludos desde Merida Yucatan Mexico 👍

[@kimo5059]

Great video! Maybe it would be possible to include malabsorption/protein-losing enteropathies among the etiologies of hypoalbuminemia, and severe burns as a cause of increased capillary permeability?

[@pes3413]

Thank you for this great summary. I'm an intern at psychiatric hospital. A patient came with leg/ ankle /foot edema, I was so confused last Friday. The patient obviously is having chronic edema . But cuz of the psychiatric complains I'm finding some issues to take a full medical history from the patient.

[@vadymchesanovskyy3621]

Thank you for your effort! I am glad that have found this channel!

[@lora97006]

What an amazingly thorough video, thanks!

[@KwedhiMD]

Thank you Doctor Strong. Very clear and concise.

[@harishnaachandramohan5540]

Amazing doctor,very detailed and great explanation

[@ghadeernajim310]

Doctor thank you very much for this great explanation I am really interesting to know your resources for this video ,please

[@SixTough]

Excellent structure and delivery

[@pachamuthu7011]

Tq so much sir...such a wonderful expalanation and strategies. Its really helpful

[@somasoma8561]

Awesome as always thank you very much Dr Eric

[@mr.h9921]

Est Canal. Thank you so much 🙏

[@yomommashaus]

I'm trying to understand how the endothelial glycocalyx plays a role in fluid shifts and therapies. Can you explain how this changes the Starling law and treatment strategies? Thanks!

[@malikshahidbashir9336]

Hey Doc! Can u please mention the resources of this valuable stuff

[@yannick8958]

Great video. It might be worth mentioning, that early stages of lymphedema present with pitting edema.

[@mikefoster3582]

Thank you Doctor. Enjoy your lectures. I am using them to teach our Cardiology Clinical Officers at Moi Teaching and Referral Hospital College of Health Sciences in Eldoret, Kenya. Would love for you to come visit. Mike Foster (ex Duke Echo Tech for 20years)

[@StrongMed]

Mike, I'm glad the videos have been helpful! I'd love to come visit but unfortunately, my wife's and mine globetrotting days have been put on hold since we had kids.

[@N0THlNGNESS]

Great video, thanks. Please can you make a video on approach to boils and ulcers?, would really appreciate.

[@StrongMed]

Thanks for the suggestion. Unfortunately, wounds are not an area of expertise or routine clinical practice for me.

[@SKARTHIKSELVAN]

Thanks for your video.

[@Hammamebrahem]

Thank you very much from Syria....

[@drmadhurireddy]

Excellent lecture

[@MuhammadAhsan-mp8hq]

Thanku so much ❤️❤️❤️

[@amalashokpt6227]

Really helpful to gain to the depth

[@drim006]

Thank you so much for your great education. Very much appreciated. Is there video on acute diarrhea? that would be great addition. Thanks!

[@StrongMed]

There isn't one yet on acute diarrhea. However, it's on my list of symptoms to cover in the future. (I estimate another 10-12 symptoms before the Approach to Symptoms series will feel more or less complete.)

[@judypeng4748]

Thanks 😊

[@drameerhussain]

Thank you sir....can you please make a video on biostatistics..... understanding the basics more thoroughly will make the review of journals easy

[@StrongMed]

I would love to make videos about biostats, but to do it right would require an entire series and I don't want to embark on a new series until I've wrapped up all the ones that are currently unfinished...(approach to symptoms, hemostasis, cirrhosis, IV fluids, ECGs, etc...). This is definitely on my list though - it just might be a while until I get to it.

[@mahamadtaqisundrani6291]

Thanks a lot Sir. Very much Helpful. Sir, Please make Video on Diabetic Kidney Disease, Proteinuria, Microalbuminuria, ACEI,ARB Use in Diabetic Kidney Disease, 24 Hour Urine Collection, Spot Protein Creatinine Ratio etc.

[@gamaltaher9714]

Thanks

[@mallikarjunakeligeri6866]

Thank you doctor

[@NinjaSheepa]

thanks mate

[@buddingpediatrician8157]

How do you make your videos?

[@logictd567]

Thank you.

[@ahmedsaidify]

Thank you sir

[@luismontilla4736]

Could you recommend some books for this and other topics, possibly in mode detail on treatment algorithm and diagnostic ones, as well ? something like a med school textbook in ease of reading but deep enough to be a starting level for a medical graduate going to specialization

[@StrongMed]

Frameworks for Internal Medicine by Andre Mansoor is a solid book along those lines, but focuses predominantly on diagnosis rather than treatment.

[@rioreason]

So... just go to my doctor because I can’t really know for sure why my legs have been swollen for about a year without some tests?

[@Ioannis1979]

Does protein-losing enteropathy qualify as a cause for hypoalbuminemia?

[@StrongMed]

Yes, absolutely. I didn't include it here because I try to keep these "Approach to Symptom" videos focused on the more common etiologies of each symptom, and protein-losing enteropathy is relatively uncommon. But it's a well described cause of both hypoalbuminemia and peripheral edema.

[@wolfpytlak2786]

Would venous stasis explain a cronic edema of 1 leg (a mild one that came and went until the patient got a pacemaker) I heard about this from a patient and couldnt figure out what happened to her.

[@StrongMed]

Edema related to venous stasis can be unilateral (or highly asymmetric), but I'm not sure how a pacemaker would improve it.

[@123miltos]

Possible explanation : Edema was unilateral ( maybe due to patient‘s anatomy shows more one the one size ) , if the pacemaker is a CRT system implanted as an HF therapy ( e.g EF< 35% + LBBB >150ms) could theoretically improve the symptoms of Heart failure including Edema .. Second explanation : patient got HF medication (ACEI, b-blocker -AT antogonist, diuretics usw) the same time as the PM implantation and thinks that the PM solved the problem ;-) I‘m just wild guessing here

[@wiltonpt1]

Great Video as usual. I am in disagreement that lymphedema cannot be pitying though. I think at some point and in most situations all edema has involvement of the veins therefore phebolymphedema is not a bad descriptor of most edemas. Differentiation should be make with Lipedema

[@larrykuehn1972]

I'm not a big fan of medical words at all.What are some non-medial words for Peripheral Edema?

[@StrongMed]

Leg swelling.

[@cynthiaz5604]

Missing cellulitis in the acute edema

[@StrongMed]

I included it in the framework @4:25 and later indicate that it's one of the most common causes of acute edema in the US. EDIT: Ah...Just realized you probably mean in the diagnostic framework... It's included under "other causes" for unilateral edema with normal d-dimer, although cellulitis is not typically a diagnostic mystery, except for venous stasis dermatitis that frequently gets erroneously diagnosed as bilateral cellulitis resistant to antibiotics.

[@cynthiaz5604]

Strong Medicine I like all your videos!! The best ! Very helpful!! Thank you so much for all the work!!

[@BrittneysLifeAdventures]

its there cure to this i have this and im 29

[@StrongMed]

It depends on the underlying cause, but yes, it can sometimes be totally reversible. It's best to speak to your own medical provider about your specific situation.