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Differential diagnosis of the swollen limb Nonvascular or lymphatic General disease states Local disease processes Retroperitoneal fibrosis Gigantism Drugs Trauma Obesity Deep venous thrombosis Postthrombotic syndrome Varicose veins Klippel-Trenaunay syndrome and other malformations External venous compression Ischemia- reperfusion Arteriovenous malformation Aneurysm Cardiac failure from any cause; liver failure; hypoproteinemia due to nephrotic syndrome, malabsorption, protein losing enteropathy; hyperthyroidism (myxedema); allergic disorders including angioedema and idiopathic cyclic edema; prolonged immobility and lower lib dependency Ruptured Bakers cyst; myositis ossificans; bony or soft tissue tumors; arthritis; hemarthrosis; calf muscle hematoma; Achilles tendon rupture May lead to arterial, venous and lymphatic abnormalities Rare; all tissues are uniformly enlarged Corticosteroids; estrogens; progestogens; monoamine oxidase inhibitors; phenylbutazone; methyldopa; hydralazine; nifedipine Painful swelling due to reflex sympathetic dystrophy Lipodystrophy, lipoidosis There may be an obvious predisposing factor such as recent surgery; the classical signs of pain and redness may be absent Swelling, usually of the whole leg, due to iliofemoral venous obstruction; venous skin changes, secondary varicose veins on the leg and collateral veins on the lower abdominal wall; venous claudication may be present Simple primary varicose veins are rarely the cause of significant leg swelling Rare; present at birth or develops in early childhood; comprises an abnormal lateral venous complex, capillary nevus, bony abnormalities, hypo(a)plasia of deep veins, and limb lengthening; lymphatic abnormalities often coexist Pelvic or abdominal tumor including the gravid uterus; retroperitoneal fibrosis Following lower limb revascularization for chronic and particularly chronic ischemia May be associated with local or generalized swelling Popliteal; femoral; false aneurysm following (iatrogenic) trauma Venous Arterial Epidemiology Lymphedema is estimated to affect around 2 of the population and causes significant physi- cal symptoms Top Forex Online complications, as well as emotional and stock options profit distress, which can lead to difficulties with relationships.

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