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Symptoms » Foot swelling » Diagnosis Checklist
 
Dr. Huntley's

DIAGNOSIS CHECKLIST
for Foot swelling

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques in his assesment of the symptom: Foot swelling. These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.

Some of the questions your doctor may ask are listed below:

  1. How long have you had swelling of the foot?

    Why: to determine if acute or chronic. If acute must consider deep venous thrombosis, lymphangitis, trauma, cellulitis.

  2. Is it unilateral or bilateral?
  3. Is it constant or intermittent?
  4. Have you ever had this type of foot swelling before?
  5. Is the foot swelling localized or generalized on the foot?
  6. History of trauma or injury to the foot?
  7. Are you pregnant?

    Why: foot swelling is not an uncommon symptom of later pregnancy that may be benign but may be a symptom of preeclampsia.

  8. Risk factors for varicose veins?

    Why: e.g. female sex, family history of varicose veins, overweight or obese, pregnancy, increasing age, occupations which require long periods of standing, low fibre diet.

  9. Risk factors for deep venous thrombosis?

    Why: e.g. prolonged bed rest, post - operation, congestive cardiac failure, varicose veins, cancer, oral contraceptive pill.

Questions your doctor may ask about related symptoms:

Sometimes, other symptoms may be present and may help your doctor analyse your condition. These may include:

  1. Foot pain?

    Why: may suggest foot trauma, gout, cellulitis.

  2. Redness of the skin?

    Why: may suggest lymphangitis, cellulitis, thrombophlebitis, angioneurotic edema, insect bite, snake bite, gout.

  3. Swelling anywhere else on the body?

    Why: if swelling is generalized, this may suggest cirrhosis of the liver, constrictive pericarditis, congestive cardiac failure, nephrotic syndrome, glomerulonephritis, malnutrition or Beri-beri.

  4. Shortness of breath?

    Why: may suggest congestive cardiac failure, constrictive pericarditis.

  5. Distended leg veins?

    Why: may suggest varicose veins.

  6. Symptoms of varicose veins?

    Why: e.g. may be symptomless. Symptoms may include swelling of feet and lower legs (usually bilateral), leg fatigue, leg heaviness and aching discomfort in legs.

  7. Symptoms of deep venous thrombosis?

    Why: e.g. ache or tightness over calf, acute diffuse unilateral leg and foot swelling, increased warmth over the calf.

  8. Symptoms of congestive cardiac failure?

    Why: e.g. pitting ankle and foot swelling, shortness of breath on exertion and fatigue.


 » Next page: Types of Foot swelling

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