Venous insufficiency (chronic) (peripheral)
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Unilateral edema suggests local insults like DVT, cellulitis, venous obstruction, or lymphatic obstruction from tumor and radiation treatment. On the other hand, bilateral edema suggests systemic diseases such as CHF, liver failure, kidney disease, or severe malabsorption syndromes.
43 for Localized swelling, mass and lump, lower limb, bilateral is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
Definition: existence of the excess fluid in the lower extremity resulting in swelling of the feet and extending upward. Further classified as pitting (depress-able) and non-pitting.
Oedema can be classified as venous oedema and lymphoedema. Lymphoedema of the lower extremities is usually bilateral. Unilateral leg lymphoedema may occur secondary to radiation, surgery, compression by a tumour or early filariasis infection.
Peripheral edema is swelling of your lower legs or hands. The cause may be simple, such as sitting for too long on a plane or standing for too long.
Localized swelling, mass and lump, lower limb, bilateral 43 became effective on October 1, 2021. This is the American ICD-10-CM version of R22.
Pitting edema Assessment - Press firmly with your thumb for at least 2 seconds on each extremity Over the dorsum of the foot Behind the medial malleolus Lower calf above the medial malleolus Pit depth and the time needed for the skin to return to its original appearance (recovery time) are recorded.
ICD-10-CM Code for Edema, unspecified R60. 9.
To determine the extent of the pitting edema, your doctor will push on your skin, measure the depth of the indention, and record how long it takes for your skin to rebound back to its original position. They will then grade it on a scale from 1-4.
The most probable cause of bilateral edema in older patients is chronic venous insufficiency. Heart failure is also a common cause. Other systemic causes such as renal disease or liver disease are much rarer.
Pitting edema: With this type, which can occur in peripheral edema, pressure applied to the skin leaves an indent or pit in the skin. Periorbital edema: This refers to inflammation and puffiness around the eye or eyes. The puffiness is due to fluid buildup and is usually temporary.
peripheral oedema, which is swelling under the skin. lymphoedema, which is swelling under the skin due to failure of the lymphatic system.
Pitting edema is commonly caused by poor circulation or the retention of excess fluids. Some common risk factors that may lead to these problems include sitting or standing in one position for too long, low protein levels, obesity, and pregnancy.