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

Edema

Edema

Edema


Venous or lymphatic obstruction (Chap. 128)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 128)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 128)
Local injury (thermal, immune, infectious, mechanical)


Venous or lymphatic obstruction (Chap. 128)
Local injury (thermal, immune, infectious, mechanical)

End

End

End

CO, cardiac output; JVD, jugular venous distention.

CO, cardiac output; JVD, jugular venous distention.

CO, cardiac output; JVD, jugular venous distention.

?

Localized

?

Localized

?

Localized

Yes

Yes

Yes

no

no

no


Severe malnutrition
Cirrhosis (Chap. 157)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 157)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 157)
Nephrotic syndrome


Severe malnutrition
Cirrhosis (Chap. 157)
Nephrotic syndrome

?

Albumin <2.5 g/dL

?

Albumin <2.5 g/dL

?

Albumin <2.5 g/dL

Yes

Yes

Yes

no

no

no


Heart failure (Chap. 126)


Heart failure (Chap. 126)


Heart failure (Chap. 126)


Heart failure (Chap. 126)

?

JVD or CO

?

JVD or CO

?

JVD or CO

Yes

Yes

Yes

no

no

no


Renal failure (Chap. 141)


Renal failure (Chap. 141)


Renal failure (Chap. 141)


Renal failure (Chap. 141)

Consider:


Drug induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 173)

Consider:


Drug induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 173)

Consider:


Drug induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 173)


Drug induced (steroids, estrogens, vasodilators)
Hypothyroidism (Chap. 173)

?

Azotemia or active urine sediment

?

Azotemia or active urine sediment

?

Azotemia or active urine sediment

Yes

Yes

Yes

no

no

no