1. Bilateral limb 雙下肢水腫一個月
1.1. Allergic
1.1.1. 無過敏史 外觀無變化
1.2. Cardiovascular
1.2.1. JVP3cm 有AC wave
1.2.2. AF病史 服藥控制
1.2.3. 心臟聽診扣診正常 ECG正常
1.3. Hepatic
1.3.1. 肝脾無腫大 Liver function test輕微異常
1.4. Renal
1.4.1. Urine test
1.4.1.1. Proteinuria:+++
1.4.1.2. RBC: 7~9顆 WBC: 0~2顆
1.4.1.3. Cast: 3~5顆 Crystal: (-)
1.4.2. Biochemical : BUN 20 Creatinin1.0
1.5. Hematologic
1.5.1. Anemia
1.5.1.1. CBC
1.5.1.1.1. RBC: 3.14*1012/L (偏低) Hb: 10.8 (偏低) MCV: 96.5 RDWCV: 15.1(偏高，正常值:11.5~14.5)
1.6. Malabsorption or Nutritional deficiency
1.7. Medications
1.7.1. Warfarin Amiodarone Digoxin
1.7.2. Methimazole
1.8. Hypothyroidism(Myxedema)
1.9. Venous obstruction
1.9.1. Bilateral DVT
1.9.2. Bilateral pelvic or retroperitoneal lymphadenopathy or mass
1.10. Venous insufficiency
1.11. Lymphatic obstruction(lymphedema)
1.11.1. Primary
1.11.1.1. Idiopathic, often bilateral
1.11.2. Secondary
1.11.2.1. More common, generally unilateral
2. Localized
2.1. Burns
2.2. Angioedema
2.3. Trauma
2.4. Cellulitis
3. Unilateral limb
3.1. Venous obstruction
3.1.1. Unilateral DVT
3.1.2. Unilateral lymphadenopathy or mass
3.2. Venous insufficiency
3.2.1. More often bilateral
3.3. Lymphedema(secondary)
3.3.1. Neoplasm
3.3.2. Surgery
3.3.3. Radiation
3.3.4. Miscellaneous
3.3.4.1. TB
3.3.4.2. Recurrent lymphangitis
3.3.4.3. Filariasis