...
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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it in the right upper quadrant? A mass in the right upper quadrant is most often an enlarged liver. However, the liver may be pushed ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is there hepatomegaly? If there is hepatomegaly, one should suspect congestive heart failure, emphysema, constrictive pericarditis, ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is there a history of trauma? Trauma, of course, may cause fractures and subperiosteal hematomas.
Is the patient a child or an adult? Children are ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is the facial swelling focal or diffuse? If it is focal, one should consider a local condition in the structures underlying the face such as the salivary ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it reducible? If the mass is reducible, it is most likely a femoral hernia or saphenous varix.
Is there an associated kyphotic curvature of the spine ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Smaller localized, freely movable masses are the sebaceous cysts, hematomas, lipomas, and lymph nodes. Masses that seem to be attached to the skull are osteomas, dermoid cysts, and sarcomas. Brain tumor tissue may... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it reducible? If the inguinal swelling is reducible, a femoral hernia or inguinal hernia should be suspected.
Does it transilluminate? If the ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is the swelling focal or diffuse? Focal jaw swelling should suggest alveolar abscess, gingivitis, adamantinoma, actinomycosis, epithelioma, a cyst, osteoma, odontoma, or epulis.
Is it ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it painless? The presence of joint swelling without pain, especially on motion, would suggest Charcot's disease.
Is the involvement ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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 to trauma, gout, pseudogout ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Ask the Following Question:
Is it painful or nonpainful? Painful swelling of the lip is more likely to be herpes zoster, herpes simplex, pyoderma granulosa, insect bites or stings, alveolar abscess, and trauma. Painless ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it focal or diffuse? Focal masses or swellings may be thyroglossal cyst, branchial cleft cyst, aneurysm, an enlarged lymph node due to Hodgkin's disease, metastatic ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Is it soft or firm? A soft popliteal swelling may be an abscess, varicose vein, Baker's cyst, popliteal aneurysm, or swollen bursa. A firm popliteal swelling may be an osteosarcoma, periostitis, giant ... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... A pulsatile swelling anywhere is an aneurysm until proven otherwise. However, frequently there is simply a benign or malignant tumor over a large artery that gives the false impression that the mass is an aneurysm... DIAGNOSTIC WORKUP
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Jaw pain is a common presenting or incidental complaint; its etiology is often identified by a careful history and physical examination. In many cases, consultation with a dentist will aid in... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Primary care physicians, rheumatologists, and orthopedists frequently encounter complaints about the knee. Because the range of illnesses affecting the knee varies greatly, a thorough history and physical exam are essential. Once a... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
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... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Gynecomastia, or breast swelling, refers to a noninflammatory enlargement of the male breast. It is defined histologically as a benign proliferation of the glandular tissue of the male breast and clinically by the presence of a mass extending... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The elbow joint is formed by the radius, ulna, and distal humerus. Trauma is a common cause of injury. Injuries frequently result from falling on an outstretched hand and may be associated with nerve injuries (axillary,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Low back pain is the second most common cause of doctor visits in the U.S. and is the most common cause of disability. Up to 90% of the population will experience back pain during their lives. Studies show that, at any given... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The shoulder is a complex arrangement of the humerus held loosely in place by ten muscles acting on the scapula, clavicle, and humerus, which form three articulations (acromioclavicular,... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Toe pain and swelling can be caused by local processes such as infection or trauma, or it may be a symptom of a systemic disorder, such as rheumatoid arthritis, endocarditis, or atherosclerotic... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The wrist is composed of eight carpal bones that are held in alignment by a series of ligaments and cartilaginous connective tissue. Wrist pain is fairly common in primary care. Although carpal tunnel syndrome... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
True optic disc swelling or edema can be a very ominous sign. Papilledema is defined as disc swelling produced by increased ICP; it may be asymmetric, UL, or BL. Acutely, the... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
A scrotal mass may or may not be detected by the patient or the patient's parent. Many are discovered by the clinician during routine physical examinations. Most scrotal masses seen in infants are hydroceles and inguinal hernias; both... Differential Diagnosis ... Workup and Diagnosis ... Treatment
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Developing a differential of this condition can be done either histologically or with the mnemonic MINT. After all, once each structure or tissue is identified the significant lesions are either inflammatory or
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Applying anatomy one can quickly ascertain that a lump in the jaw may come from the skin and subcutaneous tissues, glands, or bones.
Skin and subcutaneous tissue.
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... The best approach to analysis of this symptom is anatomic and histologic ( Table 43 ). However, if one remembers the biochemical causes of joint disease,
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Although anatomy may assist somewhat in developing the differential here, it is probably an unnecessary exercise because the mnemonic MINT will bring to mind virtually all the etiologies.
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... The key to recalling the causes of a popliteal swelling is anatomy. Each structure in the popliteal space may be involved by one or two conditions that cause a mass or swelling. In visualizing the anatomy, one encounters the skin,
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... The number of conditions causing focal or diffuse swelling of the gums is far out of proportion to the size of this organ and the fact that physicians frequently pay little attention to it unless the patient
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Swollen tongue (macroglossia) is an uncommon complaint, yet on examination, it is occasionally found. Is it possible to think of more than two or three causes? In most instances this is difficult, yet
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be localized or... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Mechanical Bowel Obstruction
Extraluminal compression
Congenital abnormalities
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be... Emergency interventions ... History and physical examination ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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,... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Gum swelling may result from one of two mechanisms: an increase in the size of existing gum cells (hypertrophy) or an increase in their number (hyperplasia). This common sign may involve one or... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect... Emergency interventions ... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Inguinal Swelling
❑ Direct inguinal hernia
❑ Indirect inguinal hernia ... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
Pain Predominant
❑ Epididymitis
❑ Testicular torsion
❑ Prostatitis ... Diagnostic Approach ... Clinical Findings
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Differential Overview
❑ Deep vein thrombosis
❑ Venous insufficiency
❑ Calf muscle strain/hematoma
... Diagnostic Approach ... Clinical Findings ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Edema, generalized
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... 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... Assessment ... History ... Physical examination ... Pediatric pointers ... Geriatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
Scrotal swelling
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
READ MEDICAL BOOK EXCERPTS ONLINE (free access, no registration)
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of... Assessment ... History ... Physical examination ... Pediatric pointers ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal distention refers to increased abdominal girth — the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on the amount of pressure. It may be... Emergency Actions ... History ... Physical assessment ... Medical causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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 Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral... Emergency Actions ... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Patient counseling ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Abdominal distention refers to increased abdominal girth—the result of increased intra-abdominal pressure forcing the abdominal wall outward. Distention may be mild or severe, depending on... History and physical examination ... Medical causes ... Nursing considerations ... Patient teaching ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... 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
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
... Scrotal swelling occurs when a condition affecting the testicles, epididymis, or scrotal skin produces edema or a mass; the penis may be involved. Scrotal swelling can affect males of any age. It can be unilateral or bilateral and painful... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Developing a differential of this condition can be done either
histologically or with the mnemonic MINT. After all,
once each structure or
tissue is identified, the significant lesions... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Applying anatomy, one can quickly ascertain that a lump in the
jaw may come from the skin and subcutaneous tissues, glands, or bones.
... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The best approach to analysis of this symptom is anatomic and
histologic (Table 43). However,
if one remembers the biochemical causes of joint disease, gout, pseudogout, ... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Although anatomy may assist somewhat in developing the differential
here, it is probably an unnecessary exercise because the mnemonic
MINT will
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The key to recalling the causes of a popliteal swelling is
anatomy. Each structure in the popliteal space may be involved by
one or two conditions that cause a mass or swelling. In visualizing the
anatomy, one... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
The number of conditions causing focal or diffuse swelling of the gums
is far out of proportion to the size of this organ and the fact that
physicians frequently pay little attention to it unless
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
...
Swollen tongue (macroglossia) is an uncommon complaint, yet on
examination, it is occasionally found. Is it possible to think of more than
two or three causes? In most instances this is difficult... Pictures
... READ MEDICAL BOOK EXCERPTS ONLINE » (free access, no registration)
What do you think about the features of this website?
Take our user survey and have your say:
