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Does the edema pit on pressure? Edema that pits on pressure is more likely to be due to heart, liver, or kidney disease. Edema that does not pit on pressure is more likely due to myxedema or lymphedema. ... DIAGNOSTIC WORKUP
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Is the edema acute or chronic? Acute edema, if it is localized, should always bring to mind a deep vein thrombophlebitis. It also should bring to mind acute lymphangitis, particularly if there ... DIAGNOSTIC WORKUP
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Is there a periorbital or facial rash? The presence of a periorbital or facial rash should suggest contact dermatitis, angioneurotic edema, ... DIAGNOSTIC WORKUP
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What other symptoms and signs are present? Ankle clonus rarely occurs by itself. Usually, there are pathologic reflexes such as a Babinski's sign on the lower extremities. The patient usually also will ... DIAGNOSTIC WORKUP
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Ankle pain is a common problem that generally occurs secondary to acute or chronic injury or degenerative joint disease. Ankle sprains, most commonly due to traumatic inversion injury, are the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Periorbital or eyelid edema has many possible etiologies, including mechanical, hemodynamic, infectious, inflammatory, and neoplastic causes. A careful history and physical examination... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Chronic venous insufficiency affects up to 25% of the general population and is the most common cause of edema or swelling of the lower extremities. Normal venous blood return to the heart requires competent venous... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Edema is defined as the accumulation of excessive amounts of fluid in the cells and tissues of the body and is relatively rare in children. It is usually generalized and dependent (i.e.,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Periorbital edema is frequently reported by parents via telephone. Unless the cause is obvious and benign, an immediate evaluation is warranted.
Differential Diagnosis ... Workup and Diagnosis ... Treatment
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... The mechanism for periorbital and facial edema is similar to that for edema of the extremities. Thus, increased backpressure of the veins will cause periorbital edema in right heart
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... Edema of the extremities is a common symptom. Most physicians, therefore, have an immediate working diagnosis when the patient walks into the office: congestive heart failure if the edema is bilateral and deep
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... As with most neurologic signs, the differential diagnosis of ankle clonus, hyperactive and pathologic reflexes can be developed by using anatomy. The most commonly used pathologic reflexes are... Cerebrum ... Brainstem ... Spinal Cord
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... Leg edema is a common sign that results when excess interstitial fluid accumulates in one or both legs. It may affect just the foot and ankle or extend to the thigh, and may be... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... The result of excess interstitial fluid in the arm, arm edema may be unilateral or bilateral and may develop gradually or abruptly. It may be aggravated by immobility and alleviated by arm elevation and exercise.
Arm edema... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... A common sign in severely ill patients, generalized edema is the excessive accumulation of interstitial fluid throughout the body. Its severity varies widely; slight edema may be difficult to detect, especially if the patient is... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Localized
Venous or lymphatic obstruction and/or insufficiency
Venous thrombosis
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... Elevated Microvascular Pressure
Cardiogenic
Volume overload (especially when associated with low plasma oncotic pressure)
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... Signs and Symptoms Dyspnea; orthopnea; coughing; tachycardia; tachypnea; crackles; jugular vein distention; diastolic gallop; cyanosis; confusion; frothy, bloody sputum; cold, clammy skin ... Treatment (Tx)
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... Pulmonary edema is the accumulation of fluid in the extravascular spaces of the lung. In cardiogenic pulmonary edema, fluid accumulation results from elevations in pulmonary venous and capillary... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Leg edema is a common sign that results when excess interstitial fluid accumulates in one or both legs. It may affect just the foot and ankle or extend to the thigh, and may be slight or dramatic and... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... The result of excess interstitial fluid in the arm, this type of edema may be unilateral or bilateral and may develop gradually or abruptly. It may be aggravated by immobility and alleviated by arm... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling
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... Facial edema refers to either localized swelling—around the eyes, for example—or more generalized facial swelling that may extend to the neck and upper arms. Occasionally painful, this sign may develop gradually or... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Pictures
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... A common sign in severely ill patients, generalized edema is the excessive accumulation of interstitial fluid throughout the body. Its severity varies widely; slight edema may be difficult to detect, especially if the patient is... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Edema
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Paul Evans and Michael P. Rowane
Edema is defined as a clinically apparent increase in interstitial fluid volume (1–3). A number of possible factors cause edema.... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Congestive heart failure
❑ Venous insufficiency
❑... Diagnostic Approach ... Clinical Findings
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... With pulmonary edema, fluid accumulates in the extravascular spaces of the lung. With cardiogenic pulmonary edema, fluid accumulation results from elevations in pulmonary venous and capillary hydrostatic... Causes ... Signs and symptoms ... Diagnosis ... Treatment
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Edema, facial
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... Facial edema refers to either localized swelling — around the eyes, for example — or more generalized facial swelling that may extend to the neck and upper arms.... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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Edema, generalized
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
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... A common sign in severely ill patients, generalized edema is the excessive accumulation of interstitial fluid throughout the body. Its severity varies widely; slight edema may be difficult to detect, especially if the patient is... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Leg edema is a common sign that results when excess interstitial fluid accumulates in one or both legs. It may affect just the foot and ankle or extend to the thigh and may be slight or dramatic, pitting or nonpitting. ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... The result of excess interstitial fluid in the arm, arm edema may be unilateral or bilateral and may develop gradually or abruptly. It may be aggravated by immobility and alleviated by... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... Facial edema refers to either localized swelling — around the eyes, for example — or more generalized facial swelling that may extend to the neck and upper... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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... A common sign in severely ill patients, generalized edema is the excessive accumulation of interstitial fluid throughout the body. Its severity varies widely; slight edema may be difficult to detect, especially if the... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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Edema
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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...Generalized edema—excessive accumulationof fluid in interstitial space—is usually obvious first inankles, lower legs, and eyelids. Principal Causes of Edema Disorderswith ... Clinical Features and Diagnosis ... Table 17.1. Principal Causes of Hydrops Fetalis ... Diagnostic Approach ... References
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... Leg edema is a common sign that results when excess interstitial fluid accumulates in one or both legs. It may affect just the foot and ankle or extend to the thigh, and may be slight or dramatic, pitting or nonpitting. ... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... The result of excess interstitial fluid in the arm, arm edema may be unilateral or bilateral and may develop gradually or abruptly. It may be aggravated by immobility and alleviated by... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Facial edema refers to either localized swelling—around the eyes, for example—or more generalized facial swelling that may extend to the neck and upper arms. Occasionally painful, this sign may develop gradually or abruptly... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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... A common sign in severely ill patients, generalized edema is the excessive accumulation of interstitial fluid throughout the body. Its severity varies widely; slight edema may be difficult to... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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The mechanism for periorbital and facial edema is similar to that for
edema of the extremities. Thus, increased backpressure of the veins will
cause periorbital edema in... Pictures
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...
Edema of the extremities is a common symptom. Most physicians,
therefore, have an immediate working diagnosis when the patient walks into
the office:... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
