🦶 Pairon mein Sujan (Pedal Edema) in your OPD? 🤔 Systemic hai ya Local? Let's break it down quickly! Pedal edema is super common, but nailing the cause fast is key. Here’s a quick thinking framework: 1️⃣ First Question: Unilateral vs Bilateral? 🦵 Unilateral (Ek Taraf): Think Local! चोट (Injury) Infection (Cellulitis) Venous Insufficiency (DVT / Chronic Venous issues) 👣 Bilateral (Dono Taraf): Think Systemic! Common/Simpler Causes: Prolonged Standing, Hypothyroidism (Thyroid ki problem), Certain Medications. Serious Causes - Don't Miss! 🚨 ❤️ Heart Failure: Check for Raised JVP + Orthopnea (Letne mein saans phoolna). Liver Failure: History mein Alcohol? Ascites (Pet mein paani) hai? Jaundice? Renal Failure: Peshaab mein jhaag (Foamy Urine)? Subah chehre pe sujan (Morning Facial Edema)? Check BP & Renal function tests. Quick Takeaway: Asking about unilateral vs bilateral and looking for these key associated signs (JVP, Orthopnea, Ascites, Foamy Urine) can quickly narrow down your differentials in a busy OPD. ✨ Mastering differential diagnosis helps you manage patients confidently! Want to dive deeper into clinical examination and diagnosis? Check out our courses on the Clinical Guruji App! (Link in Bio) 📲 #PedalEdema #ClinicalDiagnosis #DifferentialDiagnosis #OPDCases #GeneralPractice #InternalMedicine #HeartFailure #KidneyDisease #LiverDisease #ClinicalSkills #DoctorTips #MedEd #Hinglish #ClinicalGuruji #DrSubodhChaturvedi