Domaine de Dugny, 41150 Onzain, France
A 56-year-old male patient presented with a chief complaint of leg swelling. The patient had a medical history of hypertension and was on medication for it. He reported that the swelling had been present for approximately two weeks and was intermittent. The swelling was described as painless and was more pronounced in the evening. He denied any recent trauma, fever, or other associated symptoms. Physical examination revealed bilateral pitting edema extending to the mid-shin. His vital signs were stable. Laboratory investigations including a complete blood count, renal function tests, and liver function tests were within normal limits. An echocardiogram was performed which showed moderate mitral regurgitation. Further investigation with a Doppler ultrasound of the lower extremities ruled out deep vein thrombosis. The patient was advised to elevate his legs and was prescribed a diuretic. He was scheduled for a follow-up appointment in two weeks to assess his response to treatment.
