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Diagnostic Evaluation of Edema ~ Thom Rooke, MD, Summary by Peggy Bush, APN

Last Updated: 4/25/2012

Diagnostic Evaluation of Edema ~ Thom Rooke, MD, Summary by Peggy Bush, APN
Mayo Clinic
Third Venous Symposium ~ 2012
 
Limb swelling is the most common referral to Vascular Medicine at Mayo Clinic.
 
Not enough fluid removal from tissue ~ COLD
Too much fluid entry into tissue ~ HOT
>1 limb ~ Moist
 

 
 
Examples of COLD would be venous disease, lymphedema, dependency, & factitial (Not enough fluid removal from tissue)
 
Examples:


     
 
Examples of HOT would be (Too much fluid entry into tissue)
Inflammation – trauma/hematoma, infection, abscess, & osteomyelitis
AVM
Arthritis
Sympathetic dysfunction
Tumor
Thermal injury
 
Too much fluid in:
Example of Moist is CHF (not enough fluid out)
Examples of Moist are Myxedema, hypoproteinemia, volume overload, steroids/hormones/drugs, cyclic edema, capillary leak
 
 
Lymphedema
Testing ~ Lymphoscintogram,  venous testing, venous plethysmography
 
Dr. Rooke shared many illustrations and images. 





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