56-Year-Old Woman With Bilateral Lower Extremity Edema

Abstract

A 56-year-old woman presented to the primary care clinic for evaluation of a 2-year history of bilateral lower extremity edema. She denied dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. She also denied having any abdominal pain, nausea, vomiting, or diarrhea. Review of systems was positive for long-standing intermittent dysphagia with solid foods. Her medical history was notable for mild intermittent asthma, allergic rhinitis, and long-standing peripheral eosinophilia of unclear significance. Her medication list included rare meloxicam, daily ciclesonide inhaler, and albuterol inhaler as needed. She denied tobacco, alcohol, or recreational drug use. CORRECT ANSWERS: 1. e. 2. e. 3. c. 4. a. 5. a.