Wednesday, July 07, 2010

Bilateral Pedal Edema

When a patient presents with new-onset bilateral pedal edema (especially with elevated blood pressure), I make it a habit to check a UA looking for proteinuria. Every once in a while, I catch a new case of nephrotic syndrome that way—since peeing out your albumin (and other proteins) will definitely cause extra-vascular edema from reduced inter-vascular oncotic pressure.


Post a Comment