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Are there abnormalities on the eye examination? Pseudoptosis occurs when there is inflammation of the eyelid, cornea, or other ocular structures. Periorbital edema, ... 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 ... 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 ... 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, trichinosis ... DIAGNOSTIC WORKUP
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Ptosis is a drooping of the upper eyelid, which may cause decreased vision by direct visual obstruction or by inducing corneal astigmatism. Ptosis may be a harbinger of a more serious medical condition, including myasthenia gravis,... 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 determine whether the problem is... 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 valves, intermittent... 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., fluid tends to accumulate in the most dependent... Differential Diagnosis ... Workup and Diagnosis ... Treatment
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Ptosis, or lid droop, is a relatively common condition. The majority of cases are congenital. In some cases, ptosis may occur after ocular surgery. All cases of acquired ptosis deserve a careful evaluation because... 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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... A drooping eyelid may result from direct involvement of the levator palpebrae superioris muscle (end organ) or from involvement of the sympathetic or oculomotor nerve pathways from the muscle to the central nervous system. Consequently,
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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,
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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 vein phlebitis if it is
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... Ptosis is the excessive drooping of one or both upper eyelids. This sign can be constant, progressive, or intermittent and unilateral or bilateral. When it’s unilateral, it’s easy to detect by comparing the eyelids... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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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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... 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... 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)
Neurogenic
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Ptosis
(Professional Guide to Diseases (Eighth Edition))
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... Ptosis (drooping of the upper eyelid) may be congenital or acquired, unilateral or bilateral, and constant or intermittent. Severe ptosis usually responds well to treatment;... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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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... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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Ptosis
(Professional Guide to Signs & Symptoms (Fifth Edition))
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... Ptosis is the excessive drooping of one or both upper eyelids. This sign can be constant, progressive, or intermittent, and unilateral or bilateral. When it’s unilateral, it&rsquo... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
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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 elevation 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, 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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... 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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... 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... 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 diagnostic... History ... Physical examination ... Testing ... Diagnostic assessment
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... Differential Overview
❑ Congestive heart failure
❑ Venous insufficiency
❑ Hypoalbuminemia ... Diagnostic Approach ... Clinical Findings
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... Differential Overview
❑ Horner syndrome
❑ Diabetic mononeuritis
❑ Eyelid edema
❑... 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. Occasionally painful, this sign may develop... 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 obese,... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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Ptosis
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
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... Ptosis is the excessive drooping of one or both upper eyelids. This sign can be constant, progressive, or intermittent, and unilateral or bilateral. When it’s unilateral, it’s easy to detect by comparing the... 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... 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.... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
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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 ... 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 ... Clinical Features and Diagnosis ... Table 17.1. Principal Causes of Hydrops Fetalis ... Diagnostic Approach ... References
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Ptosis
(The Diagnostic Approach to Symptoms and Signs in Pediatrics)
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...Ptosis is the drooping of 1 or both eyelids.May be minimal or compromise visual axis. Principal Causes of Ptosis Defectivedevelopment of the levator palpebrae muscle Trauma ... Clinical Features and Diagnosis ... Diagnostic Approach ... References
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... Ptosis is the excessive drooping of one or both upper eyelids. This sign can be constant, progressive, or intermittent and unilateral or bilateral. When it's unilateral, it's easy to... 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 arm elevation 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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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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.
Leg edema... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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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... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching ... Pictures
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...
A drooping eyelid may result from direct involvement of the levator
palpebrae superioris muscle (end organ) or from involvement of the
sympathetic or oculomotor nerve pathways from the muscle to... 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... 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 (CHF) if the... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)