The Curbsiders Internal Medicine Podcast REBOOT #316 Lower Extremity Edema with The Curbsiders
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Aug 5, 2024 
Paul Williams, an expert in internal medicine, joins Matt Watto and Beth Garbitelli to demystify the complexities of lower extremity edema. They tackle the pathophysiology and differential diagnosis through relatable case studies. The conversation digs into chronic vs. acute edema, highlighting diagnostic challenges related to conditions like heart failure and diabetes. Practical management strategies are discussed, including the role of compression garments and medication considerations. Listeners are reassured that understanding edema can significantly improve patient care.
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Edema Pathophysiology
- Edema is caused by an imbalance between hydrostatic and oncotic pressure, leading to fluid buildup.
- Three main mechanisms: increased hydrostatic pressure, decreased oncotic pressure, and leaky capillaries.
Cardi B's Edema
- Cardi B tweeted about swollen feet after flights, highlighting edema causes.
- Venous stasis, extrinsic compression, and lower cabin pressure contribute.
Chronic Edema Differential
- Consider chronic venous insufficiency as a common cause in older patients with chronic bilateral edema.
- Ask about pain, improvement overnight, medications, and systemic diseases.