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341 Possible Causes for Elevated Sedimentation Rate, Hypotension, Localized Edema

  • Necrotizing Fasciitis

    Via infection, local inflammatory processes produce increased amounts of purulence, local edema, and eventually necrosis in the deep tissues, leading to pain out of proportion[clinicaladvisor.com] Cutaneous symptoms, oliguria, metabolic acidosis, acute renal failure, severe hypotension, and tachycardia occurred, and the patient was admitted to Intensive Care a few hours[ncbi.nlm.nih.gov] On admission he was hypotensive, anuric, with erythematous rash on his face, neck and chest, with acute renal failure and elevated creatine phosphokinase level.[ncbi.nlm.nih.gov]

  • Polyarteritis Nodosa

    Unfortunately, he died due to congestive heart failure and pulmonary edema 1 year after discharge following the cholecystectomy.[alliedacademies.org] He had symptoms of myalgia and weight loss, was afebrile but had an elevated erythrocyte sedimentation rate and acute-on-chronic renal impairment.[ncbi.nlm.nih.gov] She was in septic shock with tachycardia, tachypnea, and hypotension.[surgicalcasereports.springeropen.com]

  • Cellulitis

    Physical Assessment  Local symptoms:  Erythema and edema of area  Warm to touch,  Possibly fluctuant (tense, firm to palpation)  May resemble peau d’orange  Advancing[slideshare.net] […] erythrocyte sedimentation rate, elevated C-reactive protein Skin surface swab, blood cultures, cutaneous aspirates are NOT routinely recommended Recommended ONLY if malignancy[cancertherapyadvisor.com] Smoking, obesity, hypertension, diabetes mellitus, renal insufficiency, tachycardia, hypotension, leukocytosis, and neutrophilia were not more frequent in readmitted patients[ncbi.nlm.nih.gov]

  • Acute Myocardial Infarction

    Finally, microvascular occlusion by perivascular edema, accumulation of neutrophils, and local thrombosis occur. Table 1. Reperfusion injury: physiopathogenic elements.[f1000research.com] On the second hospital day, hypotension and a new cardiac murmur was found. The emergency echocardiographic study disclosed a ventricular septal defect.[ncbi.nlm.nih.gov] Hypotension : Hypotension may occur in various settings following acute MI.[brown.edu]

  • Pulmonary Embolism

    Inspect and palpate the legs for localized pain, swelling, warmth or redness from a DVT [1].[ems1.com] Ultimately, insufficient cardiac output from the RV causes left ventricular under-filling which results in systemic hypotension and cardiovascular collapse.[ncbi.nlm.nih.gov] During admission, the patient developed sudden, severe hypotension that was refractory to treatment.[ncbi.nlm.nih.gov]

  • Angioedema

    A general term for a vascular reaction of the deep dermis, subcutaneous or submucosal tissues, which corresponds to localized edema 2º to vasodilation and capillary permeability[medical-dictionary.thefreedictionary.com] Systemic vasculitis with hives often has elevated sedimentation rates, arthralgia, fever, etc.[theasthmacenter.org] After he received intravenous alteplase infusion, he developed orolingual angioedema followed by transient bradycardia with subsequent hypotension, resulting in the deterioration[ncbi.nlm.nih.gov]

  • Osteomyelitis

    Erythrocyte sedimentation rate (ESR). ,, It may be elevated in non-infectious forms of inflammation ( arthritis etc.).[medicaljoyworks.com] Local pain, swelling, erythema, and edema may also be reported. [2] Physical Examination On physical examination, scars or local disturbance of wound healing may be noted[emedicine.medscape.com] History duration prior treatments characterize host immunocompromised Symptoms pain fever more common in acute osteomyelitis Physical exam vital signs fever, tachycardia, and hypotension[orthobullets.com]

  • Abdominal Visceral Abscess

    […] pain in the abdomen Pain is not severe Pain is relieved by pressure Edema of the feet Urinary difficulty Slight edema (primarily of the lower limbs) Symptoms generally occur[americandragon.com] General signs of inflammation (such as elevated sedimentation rate, leucocytosis, and fever) may be absent.[jmedicalcasereports.biomedcentral.com] Sepsis definitions 24 Systemic inflammatory response syndrome (SIRS) a Severe sepsis Septic shock Temperature 38 C or SIRS lactic acidosis or hypotension Severe sepsis hypotension[obgyn.onlinelibrary.wiley.com]

  • Multiple Myeloma

    The typical presentation of multiple myeloma is anemia, back pain, and an elevated sedimentation rate.[ncbi.nlm.nih.gov] Abstract A 64-year-old Japanese man with multiple myeloma was admitted to our institute due to fever and hypotension.[ncbi.nlm.nih.gov] The presence of unexplained anemia, kidney dysfunction, a high erythrocyte sedimentation rate, lytic bone lesions, elevated beta-2 microglobulin, or a high serum protein ([en.wikipedia.org]

  • Malaria

    local atrophy and gliosis ( 58 ).[doi.org] The erythrocyte sedimentation rate, C-reactive protein, and procalcitonin are almost invariably elevated.[doi.org] CASE REPORT: A 76-year-old male presented with fever, hypotension, tachycardia, and a urinalysis consistent with a urinary tract infection.[ncbi.nlm.nih.gov]

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