RT Journal Article SR Electronic T1 Seasonality of Ankle Swelling: Population Symptom Reporting Using Google Trends JF The Annals of Family Medicine JO Ann Fam Med FD American Academy of Family Physicians SP 356 OP 358 DO 10.1370/afm.1953 VO 14 IS 4 A1 Liu, Fangwei A1 Allan, G. Michael A1 Korownyk, Christina A1 Kolber, Michael A1 Flook, Nigel A1 Sternberg, Harvey A1 Garrison, Scott YR 2016 UL http://www.annfammed.org/content/14/4/356.abstract AB In our experience, complaints of ankle swelling are more common in summer, typically from patients with no obvious cardiovascular disease. Surprisingly, this observation has never been reported. To objectively establish this phenomenon, we sought evidence of seasonality in the public’s Internet searches for ankle swelling. Our data, obtained from Google Trends, consisted of all related Google searches in the United States from January 4, 2004, to January 26, 2016. Consistent with our expectations and confirmed by similar data for Australia, Internet searches for information on ankle swelling are highly seasonal (highest in midsummer), with seasonality explaining 86% of search volume variability.