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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Severe Swelling In The Feet And Ankles?

57 year old female, non small cell lung cancer surgery August 1st. Mass was about 4 cm. Had 2 chemo treatments and kidney function was effected. So her chemo was put on hold. She needed 2 units of blood, iron shots, potassium, and hydrations all through her port. She needs oxygen and is waiting on approval from Medicare. Her sitting oxygen level was 98 and then dropped to 69 when she went for a short walk. Both her feet and ankles are extremely swollen up to almost her knees. Her left breast is swollen 7-8 times it s size. She has no pain unless touched. Feet and ankle swelling--no pain she says. She has high blood pressure and takes meds for that.
Tue, 10 Jul 2018
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Pulmonologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

In this case, we need to rule out kidney, lung and heart related complications for her swollen feet and ankles. So take her to emergency room and get done

1. Chest x ray and CT thorax to rule out lung related diseases.
2. Renal function test (RFT) - creatinine, urea, urine examination to rule out kidney disease.
3. ECG and 2D echo to rule out cardiac diseases.

Treatment is based on cause.

Hope I have answered your query. Let me know if I can assist you further.
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What Causes Severe Swelling In The Feet And Ankles?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In this case, we need to rule out kidney, lung and heart related complications for her swollen feet and ankles. So take her to emergency room and get done 1. Chest x ray and CT thorax to rule out lung related diseases. 2. Renal function test (RFT) - creatinine, urea, urine examination to rule out kidney disease. 3. ECG and 2D echo to rule out cardiac diseases. Treatment is based on cause. Hope I have answered your query. Let me know if I can assist you further.