Lymphedema: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps:

  • General physical examination – including blood pressure, pulse, body weight, height; furthermore:
    • Inspection (viewing).
      • Skin and mucous membranes [Leading symptoms:
        • Frequently dry, itchy skin
        • Positive Kaposi-Stemmer sign (clinical sign of the presence of lymphedema) – it is positive in the absence of lift-off of the interdigital skin on the forefeet (a negative Kaposi-Stemmer sign does not exclude lymphedema); primary lymphedema usually affects both legs, while secondary affects only one limb, depending on the exact cause.
        • Doughy swelling of the skin/subcutaneous tissue (doughy edema)]
  • Health check

Square brackets [ ] indicate possible pathological (pathological) physical findings.