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Bilateral lower extremity swelling: black pearl:

Smithson III, Clinton C. ; Ham, Jared C. ; Juergens II, Andrew L.
The American Journal of Emergency Medicine.  33 (2015)  12 - p. 1841.e3-1841.e4 , 2015
Link: https://doi.org/10.1016/j.ajem.2015.04.036