Level 3: Edema – Physical Exam: Expert Panel DDX

How does your differential compare with the experts?

Is there any additional testing (i.e., lab, imaging, etc.) you would perform at this time?

Experts’ DDX:

1. Renal
   1. Hypertension
   2. Renal failure
      1. Acute – Prerenal
         1. Acute tubular necrosis
         2. Acute interstitial nephritis
      2. Acute – Renal
      3. Acute – Postrenal
         1. Cervical cancer
         2. Obstruction in bladder
         3. Kidney stone
      4. Chronic renal disease – nephrosclerosis (secondary to long-term HTN)
2. Cardiovascular
   1. Hypertension – related to renal disease as well
   2. Heart failure – less likely
   3. Aortic stenosis, mitral regurgitation – less likely
   4. Amyloidosis – much less likely
3. GI system
   1. Liver disease – due to alcoholism – not likely
   2. Non-alcoholic liver disease – less likely
4. Pulmonary
   1. Pulmonary embolism – much less likely
   2. Deep vein thrombosis – much less likely
   3. Pleural disease – much less likely