Dr. Vaibhav Suresh (Family Medicine) needs a second opinion on this medical case.
44 yr old lady ,not a k/c/o DM/HT/Dyslipidemia c/o dyspnoea on exertion for the past 3 yrs along with 10% weight gain.
On examination bilateral pitting pedal edema present more so on the right leg (photo attached)
vitals are stable and all the systemic examinations normal.
Also attaching the photo of her dry,coarse skin,mostly due to hypothyroidism
P.s:Can pedal edema be severe enough to cause medial deviation of the toes??(photo attached)
If not what are the reasons for it??