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Covid-19 (Coronavirus)

Information and guidance for public, NHSGGC staff, and community-based services.  Hospital visiting restrictions now in place.

Oedema

Swelling of legs, feet and ankles may indicate the development of pulmonary hypertension and requires GP assessment.

Consider hospital outpatient referral if:

• Frequent exacerbations to exclude bronchiectasis.

• If considering nebulised treatments or oxygen.

• Unintentional weight loss – for chest X-ray (lung cancer?). Consider investigation to exclude other causes.

• Severe symptoms or signs of cor pulmonale (e.g.: ankle swelling; MRC grade 4 / 5; FEV1 <30%; Sa0<92%).

• Diagnostic uncertainty e.g. symptoms disproportionate to lung function at initial assessment or follow up.

• Never smoked / occasional smoker.

• Age < 40 years.

and requires GP assessment