Peripheral Edema Location From where to where? Both sides or only one side. How would you describe it? Is there a dip when you press it? Time questions: Onset Offset Constant or episodic? Duration Frequency Context Triggers Life changes Effect on life. Ask generally Do you have any trouble putting your shoes on? Anything makes it worse? Does it get worse throughout the day. Anything makes it better? Associated features: Urine changes Frequency Volume Appearance Pain Chest pain Abdominal distention Shortness of breath Weight changes Medications Prescription Non-prescription Past medical history Have you had any trouble with your veins before? Have you had something called varicose veins before? Allergies Vaccinations Surgery Family history Social history Diet Smoking Alcohol Recreational drugs Exercise Differentials Heart failure Nocturia Fatigue Tachycardia Leg swelling Abdominal swelling Nephritic syndrome Changes to urinary output Changes to sensation Muscle weakness Changes to urine output Venous obstruction or insufficiency Edema Varicose veins Hardened skin Itching Tingling and numbness Cirrhosis Itching Abdominal distension Caput medusae Telangiectasis Nail clubbing Petechiae and purpura White nails with a ground glass like opacities. Nausea and vomit Gynecomastia in males Tremors Hypoalbuminemia Malnutrition Liver disease features Nephrotic syndrome Inflammatory bowel disease Heart failure Drug induced CCB BB Corticosteroids Chemotherapy drugs NSAIDs Anti-depressants PD meds Diabetes medications Lymphatic obstruction Skin thickening