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Is it transient? Transient knee pain may be due to rheumatic fever, sarcoidosis, palindromic rheumatism, or trauma.
Is it unilateral or bilateral? Unilateral knee pain would ... DIAGNOSTIC WORKUP
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Is it painless? Painless swelling of the knee is probably a Charcot's joint.
Is it unilateral or bilateral? Unilateral knee swelling is most likely due ... DIAGNOSTIC WORKUP
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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 ... 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 ... 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 ... DIAGNOSTIC WORKUP
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Primary care physicians, rheumatologists, and orthopedists frequently encounter complaints about the knee. Because the range of illnesses affecting the knee varies greatly, a... 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 are necessary to... 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... 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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Knee pain is a common complaint that is readily evaluated by focusing on the anatomic structures. A focused history and exam will often give the diagnosis. Because hip pain can radiate to the knee, a thorough lower... 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 failure, constrictive pericarditis,
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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
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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... 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... 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 obese,... 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
Baker's cyst
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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,... 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... 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 pitting or... 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... 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,... 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... 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 The... History ... Physical examination ... Testing ... Diagnostic assessment
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Knee Pain
(The 10-Minute Diagnosis Manual: Symptoms and Signs in the Time-Limited Encounter)
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... Charles B. Eaton
Knee pain is a very common condition, ranking number seven in the National Ambulatory Care survey. It has been suggested that 90% of knee pain in patients can be diagnosed after an appropriate... Approach ... History ... Physical examination ... Testing ... Diagnostic assessment ... Pictures
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... Differential Overview
❑ Congestive heart failure
❑ Venous insufficiency
❑ Hypoalbuminemia
... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Osteoarthritis
❑ Patellofemoral pain
❑ Collateral ligament sprain ... Diagnostic Approach ... Clinical Findings ... Pictures
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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. Occasionally painful, this sign may... 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... 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 arm elevation and exercise.
... 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 arms. Occasionally painful,... 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... 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 normal serum albumin Increased ... 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... 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... 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... 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 detect, especially if the... 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... 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: Congestive heart failure ... Pictures
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Think of the anatomy of the knee in developing a differential
diagnosis. Starting from the surface and penetrating deep in the knee, you
have skin, subcutaneous tissue, Bursa,
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