,Extremity:  She has 2+ pretibial edema bilaterally at the lower extremity, but also the left foot, in dorsum of left foot and also right hand is swollen and very tender to move the toes and also fingers in those extremities.
,Extremity : She has 2 + pretibial edema bilaterally at the lower extremity , but also the left foot , in dorsum of left foot and also right hand is swollen and very tender to move the toes and also fingers in those extremities .