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3rd April 2024
A 58 year old female presents to the clinic with a six week history of worsening oedema and pain in both of her lower legs.
A 58 year old female presents to the clinic with a six week history of worsening oedema and pain in both of her lower legs. She denies any cough or shortness of breath. Past medical history includes pre-diabetes, previous myocardial infarction, COPD, CKD and previous alcohol excess. On examination, she has a red, warm and tender right lower leg. Bloods have not been taken yet, but you can see the results from two weeks prior (shown below).
| Hb (115 – 160g/L) |
130 | Creatinine (55 – 120 μmol/L) |
80 |
| WBC (4.0 – 11.0 * 10⁹/L) | 10.7 | eGFR | 67 |
| MCV 82 – 100 fl | 85 | ALT (3 – 40 iu/L) | 42 |
| Platelets (150 – 400 * 10⁹/L) | 145 | ALP (30 – 100 μmol/L) | 58 |
| BNP (< 100 pg/mL) | 112 | Albumin (34 – 54 g/L) | 31 |
Which of the following is the likely cause of the oedema?
Select the SINGLE most appropriate option from the list below. Select ONE option only.
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