Evaluation of peripheral edema

Última revisão: 20 Aug 2025
Última atualização: 31 Dec 2024

Resumo

Diagnósticos diferenciais

comuns

  • Heart failure with reduced ejection fraction (HFrEF)
  • Heart failure with preserved ejection fraction (HFpEF)
  • Cor pulmonale
  • Sleep apnea
  • Deep vein thrombosis
  • Chronic venous insufficiency
  • Nephrotic syndrome
  • Cirrhosis
  • Pregnancy
  • Medication-induced edema
  • Premenstrual edema
Detalhes completos

Incomuns

  • Pericardial effusion
  • Constrictive pericarditis
  • Restrictive cardiomyopathy
  • Tricuspid regurgitation
  • Nonthrombotic venous outflow obstruction
  • Hepatic venous outflow obstruction (includes Budd-Chiari syndrome and hepatic veno-occlusive disease)
  • Renal failure
  • Protein-losing enteropathy
  • Angioedema
  • Sepsis
  • Compartment syndrome
  • Primary lymphedema
  • Secondary lymphedema
  • Idiopathic
  • Severe malnutrition
  • Hypothyroidism/myxedema
  • Ruptured popliteal fossa cyst
  • Pelvic tumor causing external pressure on pelvic veins
Detalhes completos

Colaboradores

Autores

Juan N. Lessing, MD, FACP

Associate Professor, University of Colorado School of Medicine

Department of Medicine

University of Colorado Anschutz Medical Campus

Denver

CO

利益声明

JNL receives an honorarium to serve as an associate editor of Clinical Excellence Board for Aquifer, Inc., a medical education nonprofit. This role has no specific, tangible, or perceived interest to the BMJ topic, and is not considered a competing interest.

Laura D. Rosenthal, DNP, ACNP, FAANP

Associate Professor, College of Nursing

University of Colorado Anschutz Medical Campus

Denver

CO

利益声明

LDR declares that she has no competing interests.

Ethan Cumbler, MD

Professor of Medicine

Division of Hospital Medicine

Department of Internal Medicine

University of Colorado

Denver

CO

利益声明

EC declares that he has no competing interests.

同行评议者

Teresa L. Carman, MD, MSVM

Director

Vascular Medicine

University Hospitals Harrington

Heart and Vascular Institute

Cleveland Medical Center

OH

利益声明

TLC declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Mortimer PS, Levick JR. Chronic peripheral oedema: the critical role of the lymphatic system. Clin Med (Lond). 2004 Sep-Oct;4(5):448-53.全文  摘要

Mortimer PS, Rockson SG. New developments in clinical aspects of lymphatic disease. J Clin Invest. 2014 Mar;124(3):915-21.全文  摘要

Executive Committee of the International Society of Lymphology. The diagnosis and treatment of peripheral lymphedema: 2020 Consensus Document of the International Society of Lymphology. Lymphology. 2020;53(1):3-19.全文  摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Evaluation of peripheral edema images
  • 患者教育信息

    Heart failure

    Cirrhosis: what is it?

    更多 患者教育信息
  • 医学计算器

    Modified Wells score for deep vein thrombosis (DVT)

    更多 医学计算器
  • Videos

    Venepuncture and phlebotomy: animated demonstration

    How to perform an ECG: animated demonstration

    更多 操作视频
  • padlock-locked登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容

内容使用需遵循免责声明