42 yr female comes with swelling on both ankles since from last one year.in investigation uric acid,rft,lft,cbc all r in normal range.in treatment give lyser d tds nd b complex nd in between light steroid also added..but does not improved. .give the right advise



I think patient is overweight which causes achilies tendenopathy Need to icing,ultrasound and heel silicon cushion

Yes u r right...she just needa to resuce weight in that area


Rule out hypertension and amlodipine intake. If it's just b/l ankle edema can be a case oligoarthritis-in such scenario intermittent steroids won't work ,you need to give regular steroids in adequate dose at least for 6 to 8 weeks before tapering.Aspirin r paracetamol is a better option for symptomatic pain relief avoid diclofenac which itself can cause edema.Have you checked her RA factor n CRP status?

Rule out Hypertension - electrolyte imbalance, can also check TSH

bilateral doppler

Have she has hypertension? And then taking ca chanel blokers?

Two major dx can be gout/kidney dysfunction and vericose veins if RFT is normal then go for vericose vein Colour Doppler B/L lower limbs can be done

Check out h/o HTN as some anti hypertensive drugs also cause pedal edema

View 1 other reply

Fasting lipid profile,ECG and HCCT chest should be done.Pointing towards CCF

Inv ECG ECHO Rule out any drug history

is it pitting oedema???

no..its non pitting
Load more answers