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pitting oedema is the retension of fluid due to cardiac failure as a consequence of excessive salt and water retension ,also seen in pulmonary diseases,peripheral oedema is mainly found in the feet and ankles in ambulant patients,as its site is determined by gravity,pressure with the thumb if sustained will displace the fluid and leave a pit,on going to bed it is redestributed to thighs and sacral regions,the treatment is to treat the cause for cardiac,pulmonary,venous congestion,or for renal causes, to advice the patient to consume less salt and to be ambulant

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