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Edema Exam
Aka: Edema Exam, Edema Evaluation, Pitting Edema, Brawny Edema, Dependent Edema, Non-Pitting Edema (Non-pitting edema C1265804), Peripheral Edema- See Also
- Exam: Pitting Edema
- Technique
- Examiner impresses thumb into skin over bony surface
- Tibia
- Fibula
- Sacrum
- Withdraw thumb
- Measure depth of pit and record in millimeters (1-4 plus Pitting Edema)
- Examiner impresses thumb into skin over bony surface
- Interpretation
- Pitting Edema
- Non-Pitting Edema (Brawny Edema)
- Myxedema
- Chronic inflammation
- Chronic Venous Stasis
- Technique
- Exam: Edema Distribution and Characteristics
- Dependent Edema (fluid shift in response to gravity)
- Standing patient accumulates fluid in feet and ankles
- Bed-bound patient collects fluid posteriorly (Sacrum)
- Chronic Leg Edema (Brawny Edema)
- Tissue becomes fibrotic and fails to pit
- Stemmer's Sign
- Attempt to pinch and lift skinfold at the base of the second toe (or middle finger)
- Negative (able to pinch skin)
- Does not completely exclude Lymphedema (especially if recent onset), but is more suggestive of other edema cause
- No swelling at base of digit is more consistent with Chronic Venous Insufficiency
- Pitting swelling of the base of digit is more suggestive of CHF, Nephrotic Syndrome, Cirrhosis or other similar edema
- Positive (unable to pinch skin)
- Pathognomonic for Lymphedema
- Dependent Edema (fluid shift in response to gravity)
Peripheral edema (C0085649) |
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Definition (NCI) | Swelling due to an excessive accumulation of fluid in the upper or lower extremities. |
Definition (NCI_CTCAE) | A disorder characterized by swelling due to excessive fluid accumulation in the upper or lower extremities. |
Concepts | Finding (T033) |
SnomedCT | 206893004, 158246003, 271809000, 82014009 |
English | EDEMA OF EXTREMITIES, EDEMA PERIPHERAL, OEDEMA OF EXTREMITIES, OEDEMA PERIPHERAL, [D]Peripheral edema, [D]Peripheral oedema, Peripheral edema, [D]Peripheral edema (context-dependent category), Edema, peripheral, Edema extremities, Edema of extremities, Edema peripheral, Oedema of extremities, Oedema peripheral, Edema Limbs, Peripheral Oedema, Limbs Edema, edema extremities, edema limbs, edema peripheral, limb edema, extremity edema, peripheral edema, Peripheral Edema, Edema limbs, Oedema extremities, [D]Peripheral oedema (situation), [D]Peripheral edema (situation), Oedema limbs, Peripheral oedema, Peripheral edema (disorder), Peripheral edema (morphologic abnormality), Edema;peripheral, Oedema;peripheral, peripheral oedema |
Italian | Edema periferico, Edema degli arti |
Dutch | perifeer oedeem, oedeem ledematen, oedeem aan extremiteiten, oedeem extremiteiten, oedeem perifeer |
French | Oedème des extrémités, Oedème des membres, Oedème périphérique, Oedème, extrémités, OEDEME DES EXTREMITES, OEDEME PERIPHERIQUE, Oedèmes périphériques |
German | Oedem der Extremitaeten, peripheres Oedem, Oedem der Gliedmassen, OEDEM EXTREMITAETEN, OEDEM PERIPHER, Oedem peripher |
Portuguese | Edema dos membros, Edema das extremidades, EDEMA DAS EXTREMIDADES, EDEMA PERIFERICO, Edema periférico |
Spanish | Edema de miembros, Edema de extremidades, Edema de las extremidades, [D]edema periférico (categoría dependiente del contexto), EDEMA DE EXTREMIDADES, EDEMA PERIFERICO, [D]edema periférico (situación), [D]edema periférico, edema periférico (anomalía morfológica), edema periférico (trastorno), edema periférico, Edema periférico |
Japanese | 末梢性浮腫, 四肢浮腫, マッショウセイフシュ, シシフシュ |
Czech | Edém končetin, Otok končetin, Periferní edém, Periferní otok |
Hungarian | Perifériás ödéma, Végtagok oedemája, Végtagi ödéma, Oedema a végtagokon, Ödéma a végtagokban, Peripheriás vizenyő, Végtagok ödémája, Peripheriás oedema, Végtagi oedema |
Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Dependent edema (C0235437) |
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Concepts | Finding (T033) |
SnomedCT | 206894005, 248499004, 58692005 |
English | EDEMA DEPENDENT, OEDEMA DEPENDENT, [D]Dependent edema, [D]Dependent oedema, Edema dependant, Oedema dependant, Edema dependent, Oedema dependent, Gravitational edema, Orthostatic edema, Postural edema, Gravitational oedema, Orthostatic oedema, Postural oedema, orthostatic edema, Oedema;dependent, dependant edema, dependent edema, gravitational edema, postural edema, Dependent edema, Dependent oedema, Dependent edema (finding), Dependent edema (morphologic abnormality), Edema;dependent, dependent oedema |
Italian | Edema gravitazionale, Edema declive, Edema ortostatico, Edema posturale |
Dutch | oedeem secundair, orthostatisch oedeem, neerhangend oedeem, zwaartekrachtsoedeem, secundair oedeem, houdingsafhankelijk oedeem, gravitatie-oedeem |
French | Oedème gravitationnel, Oedème dépendant, Oedème postural, Oedème orthostatique, Oedème déclive, OEDEME IDIOPATHIQUE, Oedème de gravitation |
German | Oedem der Gravitation folgend, orthostatisches Oedem, posturales Oedem, OEDEM ABHAENGIGE KOERPERPARTIEEN, Gravitationsoedem |
Portuguese | Edema de estase, Edema ortostático, Edema de posição, EDEMA IDIOPATICO, Edema gravitacional |
Spanish | Edema por declive, Edema postural, Edema ortostático, Edema dependiente, EDEMA GRAVITACIONAL, edema por declive, edema dependiente (hallazgo), edema postural (hallazgo), edema dependiente, edema postural (anomalía morfológica), edema postural, Edema gravitacional |
Japanese | 重力性浮腫, 起立性浮腫, 動性浮腫, 体位性浮腫, ドウセイフシュ, タイイセイフシュ, ジュウリョクセイフシュ, キリツセイフシュ |
Czech | Edém závislý na poloze těla, Ortostatický edém, Edém závislý na gravitaci, Posturální edém |
Hungarian | Orthostaticus oedema, Orthostatikus ödéma, Posturalis ödéma, Gravitációs ödéma, Orthostatikus oedema, Posturalis oedema, Oedema orthostatica, Gravitációs oedema, Dependens oedema, Orthostatikus vizenyő |
Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Pitting edema (C0333243) |
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Definition (NCI) | Swelling due to excessive accumulation of fluid under the skin defined by a persistent indentation when pressure is applied to the swollen area. Causes include systemic conditions (e.g., heart failure, liver failure, or kidney failure) and local conditions affecting the extremities. |
Concepts | Sign or Symptom (T184) |
SnomedCT | 139248000, 161986005, 284521000, 5008001 |
English | pitting edema, pitting edema (physical finding), Pitting Edema, oedema pitting, edema pitted, edema pitting, edema pits, pit edema, pitting oedema, Pitting oedema (finding), Pitting edema, Pitting oedema, Pitting edema (finding), Pitting edema (morphologic abnormality), edema; pitting, pitting; edema |
Spanish | Edema depresible, edema con fóvea (anomalía morfológica), edema con fóvea (hallazgo), edema con fóvea |
Portuguese | Edema com godet, Edema depressível |
French | Oedème prenant le godet, Oedème qui prend le godet |
Italian | Edema plastico |
German | eindrueckbares Oedem, Eindrueckbares Oedem |
Dutch | putjesoedeem, oedeem; putjes, putjes; oedeem |
Czech | Hydrostatický intersticiální edém |
Japanese | 圧痕浮腫, アッコンフシュ |
Hungarian | Ujjbenyomatot tartó ödéma, Ujjbenyomatot tartó oedema |
Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
Brown edema (C0333248) |
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Concepts | Sign or Symptom (T184) |
SnomedCT | 248500008, 18174004 |
English | edema brown, brawny edema, browning edema, edema brawny, Brawny edema, Brawny oedema, Brown edema, Brown oedema, Brawny edema (finding), Brown edema (morphologic abnormality) |
Spanish | edema indurado con coloración parda (hallazgo), edema indurado con coloración parda, edema pardo (anomalía morfológica), edema pardo |
Sources |
Derived from the NIH UMLS (Unified Medical Language System) |
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