otherwise DM pt w/ pitting edema - page 2

I was doing a practice assessment on a friend, who is for the most part healthy. Long term IDDM (30+ yrs), on an insulin pump and a low dose "HTN" med to protect kidneys. So, I'm going along doing... Read More

  1. by   Wave
    [quote=CRNASOMEDAY25]Sorry to bust in on the thread, but how do you tell edema from fat ankles?

    Actually, my friend's ankles were normal. The edema started above the ankle entirely and went about 1/2 way up both legs.
  2. by   Wave
    Quote from thrashej
    I am also thinkin' 1+ edema....what's the big deal.....
    Nothing really. It was something that I uncovered when I was practicing my physical assessment skills. However, my friend was unaware of having any previous episodes of edema. I just felt that seeing as how I (accidentally) uncovered what amounts to a possible genuine "problem"(but not a serious one though) that I should run it down. Maybe nip it in the bud, so to speak. How else do people learn? Also, she is my a dear friend after all and I want to make sure she is taking care of herself.

    So there are two trains of thought for me: 1) make sure that my friend is healthy/no new problems and 2) a mental exercise of disease process, critical thinking/assesment skills.
  3. by   Wave
    Spoke to one of my prof's tonight. She said it could possibly be "walking pneumonia" and that my friend should consider getting a CXR. Also said that the (pitting) edema was probably just "varicosity". Have to look both of those up.

    P.S. Not trying to propagate my own thread here, just wanted to share.
    Last edit by Wave on Nov 9, '06
  4. by   Curious1alwys
    Interesting!

    But maybe your friend needs to go to a doctor and quit fishing around for you to provide a medical diagnosis.....
  5. by   Wave
    Quote from thrashej
    But maybe your friend needs to go to a doctor and quit fishing around for you to provide a medical diagnosis.....
    I agree. Problem is, as a student, my advice is taken with a grain of salt. I know something is not right, but I don't know that something is actually wrong. Guess we'll just have to wait and see!

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