Patient presents with complaints of lower leg swelling, also described as leg edema or ankle swelling.  Onset of swelling was [duration] and is [character: unilateral or bilateral, constant or intermittent].  Patient reports associated symptoms of [list associated symptoms e.g., pain, tenderness, redness, warmth, skin discoloration, shortness of breath, chest pain, difficulty walking, limited range of motion].  Medical history includes [list relevant medical history e.g., hypertension, diabetes, heart failure, kidney disease, deep vein thrombosis, venous insufficiency, cellulitis, recent surgery, trauma, prolonged immobility, medications].  Physical examination reveals [objective findings e.g., pitting or non-pitting edema, presence of varicose veins, skin temperature and color, capillary refill, pulses, circumference measurements, tenderness to palpation].  Differential diagnosis includes venous insufficiency, deep vein thrombosis, heart failure, lymphedema, cellulitis, kidney disease, medication side effects.  Preliminary diagnosis is [preliminary diagnosis].  Ordered [diagnostic tests e.g., venous Doppler ultrasound, D-dimer, blood tests, urinalysis, echocardiogram].  Plan includes [treatment plan e.g., leg elevation, compression stockings, medications such as diuretics, anticoagulants, antibiotics, referral to specialist such as vascular surgeon, cardiologist, nephrologist].  Patient education provided on [patient education topics e.g.,  risk factors for lower leg swelling, importance of compliance with treatment plan, signs and symptoms of complications, follow-up care].  Return for follow-up in [duration] to assess treatment response and adjust plan as needed.