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Table 56.3
Causes of Leg Swelling
Venous/lymphatic
Deep
vein thrombosis
Superficial
thrombophlebitis
IVC obstruction (e.g. by a tumour)
Varicose
veins with chronic venous
hypertension
Post-phlebitic
syndrome
Congenital
lymphoedema
After vein harvesting for coronary bypass grafting
Dependent oedema (e.g. in a paralysed limb)
Severe
obesity
with compression of ilio-femoral veins
Musculoskeletal
Calf
haematoma
Ruptured
Baker's
cyst
Muscle
tear
Skin
Cellulitis
(often presents with tenderness, erythema and induration of the skin)
Systemic (oedema is bilateral, but may be asymmetric)
Heart
failure
Liver
failure
Acute kidney
injury/chronic kidney disease
Nephrotic
syndrome
Hypoalbuminaemia
Chronic
respiratory
failure
Pregnancy
Idiopathic
oedema of women
Dihydropyridine
calcium antagonists
Drugs causing
salt
/water retention