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Differential Diagnosis for Unilateral Right Leg Edema

Single Most Likely Diagnosis

  • Chronic Venous Insufficiency: This condition is a common cause of unilateral leg edema, especially if the patient has a history of deep vein thrombosis (DVT), varicose veins, or has undergone surgeries that might have compromised venous return.

Other Likely Diagnoses

  • Deep Vein Thrombosis (DVT): A blood clot in the deep veins of the leg can cause swelling, pain, and discoloration, typically affecting one leg.
  • Cellulitis: A bacterial infection of the skin and subcutaneous tissues that can cause swelling, redness, and warmth, often confined to one leg.
  • Lymphedema: Swelling caused by impaired lymph drainage, which can be primary (inherited) or secondary (due to surgery, infection, or trauma), and may affect one leg.

Do Not Miss Diagnoses

  • Compartment Syndrome: A condition where increased pressure within a muscle compartment leads to inadequate blood supply, which is a medical emergency requiring prompt intervention.
  • Phlegmasia Cerulea Dolens: A severe form of DVT that causes significant swelling and cyanosis of the affected limb, which can lead to gangrene if not treated promptly.
  • Malignancy (e.g., Lymphoma or Soft Tissue Sarcoma): Although less common, malignancies can cause unilateral leg edema due to obstruction of lymphatic or venous return.

Rare Diagnoses

  • Filariasis: A parasitic infection that can cause lymphedema, typically seen in tropical regions.
  • Klippel-Trenaunay Syndrome: A rare congenital condition characterized by vascular malformations, which can lead to unilateral leg edema.
  • Fabry Disease: A genetic disorder that can cause peripheral edema among other systemic symptoms, due to the accumulation of a particular type of fat in the body's cells.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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