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. 2022 Aug;6(3):198-203.
doi: 10.5811/cpcem.2022.4.57085.

60-year-old Female with Edema

Nikki A Cali  1 , Cheyenne Falat  2 , Laura J Bontempo  2 , J David Gatz  2
Affiliations

60-year-old Female with Edema

Nikki A Cali et al. Clin Pract Cases Emerg Med. 2022 Aug.

Abstract

Introduction: Many patients present to the emergency department (ED) with nonspecific, acute-on-chronic complaints. It requires a thorough diagnostic approach and broad differential diagnosis to determine whether there is serious, undiagnosed pathology.

Case presentation: A 60-year-old female presented to the ED for gradually worsening bilateral lower extremity swelling with associated abdominal distension, ascites, diarrhea, vomiting, and weight loss.

Discussion: This case takes the reader through the evaluation of a patient with acute-on-chronic complaints who presented in a decompensated state.

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Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

Figures

Image 1
Image 1
Electrocardiogram of a 60-year-old female with bilateral lower extremity swelling showing sinus tachycardia, normal axis, normal intervals, and no ST or T wave changes. K, thousand; mcL, microliter; g, gram; dL, deciliter; mmol, millimole; L, liter; mg, milligram; u, microgram; pg, picogram; ml, milliliter; ng, nanogram.
Image 2
Image 2
Computed tomography axial view with intravenous contrast of the abdomen of a 60-year-old female with bilateral lower extremity swelling. Multiple hepatic lesions are demonstrated (white arrows).
See this image and copyright information in PMC

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