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PERIORBITAL EDEMA

PERIORBITAL EDEMA: Excerpt from Algorithmic Diagnosis of Symptoms and Signs

Ask the Following Questions:

  1. Is there a periorbital or facial rash? The presence of a periorbital or facial rash should suggest contact dermatitis, angioneurotic edema, trichinosis, and herpes zoster. Remember, herpes zoster is usually unilateral.
  2. Is there a generalized edema? The presence of generalized edema suggests myxedema, cirrhosis, acute and chronic glomerulonephritis, congestive heart failure, and other disorders.
  3. Is there fever? The presence of fever suggests acute sinusitis, cavernous sinus thrombosis, orbital cellulitis, meningitis, and neurosyphilis.

DIAGNOSTIC WORKUP

Routine diagnostic studies include a CBC, sedimentation rate, urinalysis, chemistry panel, thyroid profile, chest x-ray, VDRL test, and x-ray of the sinuses and orbits. If there is fever, a nose and throat culture and blood culture should be done and antibiotics begun without delay. A CT scan of the brain and sinuses probably ought to be done in these cases, but why not get an ear, nose, and throat or neurologic consultation first?

If there is generalized edema, the workup should proceed as outlined on page 138 .

Trichinosis can be diagnosed by the skin test, serologic studies, or a muscle biopsy. Superior vena cava syndrome may be diagnosed by a chest x-ray in many cases, but a CT scan of the mediastinum may be necessary.

 

Book Source Details

  • Book Title: Algorithmic Diagnosis of Symptoms and Signs
  • Author(s): R. Douglas Collins
  • Year of Publication: 2003
  • Copyright Details: Algorithmic Diagnosis of Symptoms and Signs, Copyright © 2003 Lippincott Williams & Wilkins.

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  • "A Pocket Manual of Differential Diagnosis" (1999)
  • Lung abscess
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • Lung cancer
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  • Septic shock
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • Atelectasis
  • "Professional Guide to Diseases (Eighth Edition)" (2005)
  • Edema
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Epigastric Distress
  • "The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter" (2000)
  • Edema
  • "Field Guide to Bedside Diagnosis" (2007)
  • Shock
  • "Field Guide to Bedside Diagnosis" (2007)
  • Edema, facial
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Edema, generalized
  • "Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series" (2007)
  • Edema
  • "The Diagnostic Approach to Symptoms and Signs in Pediatrics" (2006)
  • Edema
  • "The 5-Minute Pediatric Consult" (2008)
 

Copyright notice for book excerpts: Copyright © 2008 Lippincott Williams & Wilkins. All rights reserved.




More About This Book:
Title: Algorithmic Diagnosis of Symptoms and Signs
Authors: R. Douglas Collins
Publisher: Lippincott Williams & Wilkins
Copyright: 2003
ISBN: 0-7817-3805-9

 » Next page: EDEMA, LOCALIZED (Algorithmic Diagnosis of Symptoms and Signs)

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