Diagnostic Approach to Edema - Flowchart
Diagnostic Approach to Edema - Flowchart
«Flowchart»

Edema

Edema

Edema


Venous or lymphatic obstruction (Chap. 133)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 133)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 133)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 133)
Local injury (thermal, immune, infectious, mechanical)


Severe malnutrition
Cirrhosis (Chap. 163)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 163)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 163)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 163)
Nephrotic syndrome

Heart failure (Chap. 131 Diagnosis - Cytomegalovirus (CMV))

Heart failure (Chap. 131 Diagnosis - Cytomegalovirus (CMV))

Heart failure (Chap. 131 Diagnosis - Cytomegalovirus (CMV))

Chap. 131 Diagnosis - Cytomegalovirus (CMV)

Renal failure (Chap. 146 Symptoms - Restrictive Cardiomyopathy)

Renal failure (Chap. 146 Symptoms - Restrictive Cardiomyopathy)

Renal failure (Chap. 146 Symptoms - Restrictive Cardiomyopathy)

Chap. 146 Symptoms - Restrictive Cardiomyopathy

Consider:


Drug-induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 181)

Consider:


Drug-induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 181)

Consider:


Drug-induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 181)


Drug-induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 181) Chap. 181

End

End

End

? Localized

? Localized

? Localized

yes

yes

yes

no

no

no

? albumin <2.5 g/dL

? albumin <2.5 g/dL

? albumin <2.5 g/dL

yes

yes

yes

no

no

no

? Azotemia or active urine sediment

? Azotemia or active urine sediment

? Azotemia or active urine sediment

yes

yes

yes

no

no

no

?↑ JVD or ↓ CO

?↑ JVD or ↓ CO

?↑ JVD or ↓ CO

↑ ↓

yes

yes

yes

no

no

no