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[The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice].
Internist (Berl). 2020 Jan; 61(1):36-43.I

Abstract

Swelling of soft parts of the lower extremities, whether uni- or bilateral, is a common reason for consulting a general practitioner (GP). Complex interactions mean that GPs are faced with a wide range of differential diagnoses during clarification of such findings. Of enormous importance is the prevention of a dangerous course, e.g., by initiating weight-adapted calculated antibiotic treatment, antithrombotic therapy, or even initial inpatient treatment and acute diagnostic workup in case of impending compartment syndrome or extensive venous thrombosis of the leg with or without suspicion of pulmonary embolism. Sometimes an acute venous thrombosis of the leg unmasks malignant disease. A swollen leg/swollen legs are frequently a leading symptom of decompensating heart or renal failure. Another possible cause are drug side effects, which may be exacerbated in a warm environment. An endocrine cause must also be considered in some cases. The GP is the appropriate physician for patients to contact and to initiate and coordinate diagnostics and treatment. In addition to coordination of specialist examinations, it is not infrequent that nurses and physiotherapists have to be involved in treatment, to ensure successful outpatient care.

Authors+Show Affiliations

Diabetologische Schwerpunktpraxis, Römerstraβe 14, 55129, Mainz, Deutschland. burchert-mainz@t-online.de.

Pub Type(s)

Journal Article
Review

Language

ger

PubMed ID

31848646

Citation

Burchert, Dieter. "[The Swollen Leg and Clarification of Bilateral Leg Swelling : Practical Procedure in General Practice]." Der Internist, vol. 61, no. 1, 2020, pp. 36-43.
Burchert D. [The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice]. Internist (Berl). 2020;61(1):36-43.
Burchert, D. (2020). [The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice]. Der Internist, 61(1), 36-43. https://doi.org/10.1007/s00108-019-00708-9
Burchert D. [The Swollen Leg and Clarification of Bilateral Leg Swelling : Practical Procedure in General Practice]. Internist (Berl). 2020;61(1):36-43. PubMed PMID: 31848646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The swollen leg and clarification of bilateral leg swelling : Practical procedure in general practice]. A1 - Burchert,Dieter, PY - 2019/12/19/pubmed PY - 2020/1/25/medline PY - 2019/12/19/entrez KW - Heart failure KW - Leg ulcer KW - Lymphangitis KW - Lymphedema KW - Renal insufficiency KW - Venous thrombosis, leg SP - 36 EP - 43 JF - Der Internist JO - Internist (Berl) VL - 61 IS - 1 N2 - Swelling of soft parts of the lower extremities, whether uni- or bilateral, is a common reason for consulting a general practitioner (GP). Complex interactions mean that GPs are faced with a wide range of differential diagnoses during clarification of such findings. Of enormous importance is the prevention of a dangerous course, e.g., by initiating weight-adapted calculated antibiotic treatment, antithrombotic therapy, or even initial inpatient treatment and acute diagnostic workup in case of impending compartment syndrome or extensive venous thrombosis of the leg with or without suspicion of pulmonary embolism. Sometimes an acute venous thrombosis of the leg unmasks malignant disease. A swollen leg/swollen legs are frequently a leading symptom of decompensating heart or renal failure. Another possible cause are drug side effects, which may be exacerbated in a warm environment. An endocrine cause must also be considered in some cases. The GP is the appropriate physician for patients to contact and to initiate and coordinate diagnostics and treatment. In addition to coordination of specialist examinations, it is not infrequent that nurses and physiotherapists have to be involved in treatment, to ensure successful outpatient care. SN - 1432-1289 UR - https://www.unboundmedicine.com/medline/citation/31848646/[The_swollen_leg_and_clarification_of_bilateral_leg_swelling_:_Practical_procedure_in_general_practice] L2 - https://dx.doi.org/10.1007/s00108-019-00708-9 DB - PRIME DP - Unbound Medicine ER -