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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Swelling In Lower Legs, Hallucinations And Low Responsiveness In An Elderly Lady Indicate?

female 83 years of age. extreme swelling of both lower legs. had had 2 massive heart attacks , some CHF becoming less responsive over the last couple of months. Has spoken of seeing husband who died 39 years ago. Less appetite and less want/need for fluid. Does not now want or express need to be in presence of others during family dinners. What could this be. Too many health issues for surgery. Cardiac or other
Tue, 22 Sep 2020
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General Surgeon,  's  Response
Hello,

The extensive swelling both legs, hallucinations with low responsiveness in an elderly of age 83 indicate flare up of underlying cardiac condition with electrolyte disturbances that of sodium and potassium. She requires intensive evaluation with her treating physician in terms of:
- Complete hemogram and blood counts
- Serum urea, creatinine
- Serum electrolytes and blood sugar
- Urine microscopy
- 2D Echo of the cardiac status
- Electrocardiogram
- X-ray chest (PA)
- With or without CT brain without contrast

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
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What Could Swelling In Lower Legs, Hallucinations And Low Responsiveness In An Elderly Lady Indicate?

Hello, The extensive swelling both legs, hallucinations with low responsiveness in an elderly of age 83 indicate flare up of underlying cardiac condition with electrolyte disturbances that of sodium and potassium. She requires intensive evaluation with her treating physician in terms of: - Complete hemogram and blood counts - Serum urea, creatinine - Serum electrolytes and blood sugar - Urine microscopy - 2D Echo of the cardiac status - Electrocardiogram - X-ray chest (PA) - With or without CT brain without contrast Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Bhagyesh V. Patel, General Surgeon