Presentation
We present a case of a 16-year-old girl who presented to our pediatric emergency department with complaints of progressive left vulvar swelling. [ncbi.nlm.nih.gov]
Entire Body System
- Swelling
(swelling) Edema (swelling) leg Edema (swelling), arms and legs Edema of face Edema of foot Edema of lower extremity Edema, localized Edema, lower extremity Edema, peripheral Facial edema Leg edema Localized edema Pedal edema Pedal edema (foot swelling [icd9data.com]
From Ancient Greek οἴδημα (oidēma, “swelling”), from οἰδέω (oideō, “I swell”). [yourdictionary.com]
See More First Known Use of edema 15th century, in the meaning defined at sense 1 History and Etymology for edema New Latin, from Greek oidēma swelling, from oidein to swell; akin to Armenian aytnu- swell, Old English ātor poison Learn More about edema [merriam-webster.com]
If you notice any unexplained swelling, contact your provider. Raftery AT, Lim E, Östör AJK. Abdominal swellings. In: Raftery AT, Lim E, Östör AJK, eds. Churchill's Pocketbook of Differential Diagnosis. 4th ed. [nlm.nih.gov]
Patients with peripheral edema usually present with painless swelling of the lower legs. A residual indentation left by pressure on the site of the swelling indicates pitting edema. [amboss.com]
- Pain
The case of a patient who experienced bone marrow edema and pain in both feet and a compression fracture of one heel bone after several months of everolimus use is reported. [ncbi.nlm.nih.gov]
Skip to content Enjoy a Pain Free Life! [novusspinecenter.com]
Persistent leg pain and swelling can indicate a blood clot deep in your vein (deep vein thrombosis, or DVT). [mayoclinic.org]
Symptoms usually include increased swelling, puffiness, pain in muscle tissues and joints, and difficulty moving. Skin symptoms include pain, swelling, tightness, and a shiny, stretchy appearance. [verywellhealth.com]
- Lymphedema
Chronic venous insufficiency Post-thrombotic syndrome References:[1][2][3][4] Lymphedema Definition: edema associated with lymphatic obstruction and reduced fluid clearance due to compromised lymphatic vessels or lymph nodes Etiology Primary lymphedema [amboss.com]
Lymphedema and edema due to systemic diseases and hypoproteinemic states are painless 4. Pitting edema – Except lymphedema and myxedema, most other diseases cause pitting pedal edema. [slideshare.net]
Lymphedema swelling leaves a mark when a finger is pressed into it. This is known as pitting edema. This occurs only in the early stages of lymphedema. Edema due to some causes can be relieved with diuretics. [thelymphielife.com]
This condition may lead to lymphedema. When lymphedema is present, there is a greater risk of infection and the development of wounds. Early treatment can prevent serious complications. [witham.org]
- Weight Gain
You’ll find many discussions in this forum on weight gain and swelling that can help you answer questions and find support. [everydayhealth.com]
Sudden or rapid weight gain Decreased amount of urine Diagnosing edema To diagnose edema, your doctor may check whether the skin over the swollen area indents when pressed. [cancer.net]
- Falling
The frequency of patients with ≥11 hyperreflective foci was 58.4% at baseline, falling to 20.8% at 12 months. Further, hyperreflective foci were observed in the outer retinal layers in 50% of patients at baseline and just 28.6% at 12 months. [ncbi.nlm.nih.gov]
[…] menu AliMed 800.225.2610 My Account Cart Products ADL - Aids for Daily Living Bariatrics, Obesity Clinic & Hospital Supplies, Equipment, Furnishings Diagnostic Equipment Diagnostic Imaging Durable Medical Equipment Emergency Preparedness Ergonomics Fall [alimed.com]
A fall in osmotic pressure occurs in nephrotic syndrome and liver failure.[6] Causes of edema which are generalized to the whole body can cause edema in multiple organs and peripherally. [en.wikipedia.org]
Respiratoric
- Dyspnea
Patients with edema due to heart failure (a common cause) often have dyspnea during exertion, orthopnea, and paroxysmal nocturnal dyspnea. Patients with edema due to deep venous thrombosis (DVT) often have leg pain. [merckmanuals.com]
She presented to the emergency department with a 1-month history of progressive dyspnea associated with general weakness. She also showed hypothermia, decreased mental status, and general edema. [ncbi.nlm.nih.gov]
- Respiratory Distress
500; 281 KB A woman with a deformed and swollen face Wellcome L0034946.jpg 2,729 × 3,965; 2.55 MB A young boy with stunted growth and swollen leg Wellcome L0034945.jpg 3,216 × 3,928; 2.79 MB Abscess cheek.jpg 2,598 × 3,308; 5.93 MB Play media Acute-Respiratory-Distress-Syndrome-Induced-by-a-Swine [commons.wikimedia.org]
Pulmonary edema, especially acute, can lead to fatal respiratory distress or cardiac arrest due to hypoxia. It is a cardinal feature of congestive heart failure. [en.wikipedia.org]
Fluid retention in the lungs can lead to shortness of breath, respiratory distress, and chest pain. [emedihealth.com]
Gastrointestinal
- Failure to Thrive
[…] to thrive (child) R62.52 Short stature (child) R62.59 Other lack of expected normal physiological development in childhood Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. [icd10data.com]
Liver, Gall & Pancreas
- Jaundice
In the general examination, the skin is inspected for jaundice, bruising, and spider angiomas (suggesting a liver disorder). [merckmanuals.com]
Cardiovascular
- Thrombosis
Here, we report a case of an AAA complicated by inferior vena cava (IVC) thrombosis and deep venous thrombosis (DVT) due to IVC compression by aneurysm successfully treated by endovascular aneurysm repair (EVAR). [ncbi.nlm.nih.gov]
Management cont... • Deep vein thrombosis – Anticoagulant therapy using LMWH followed by oral anticoagulants like warfarin. [slideshare.net]
Pharmaceutical side effects (e.g., calcium channel blockers) Protein deficiency (mainly hypoalbuminemia) : nephrotic syndrome, liver cirrhosis, malnutrition, protein-losing enteropathy Hydrostatic: chronic venous insufficiency;, pregnancy, deep vein thrombosis [amboss.com]
Many women experience mild swelling during pregnancy, but more severe edema can be a sign of serious pregnancy-related complications, including deep vein thrombosis and preeclampsia. [rush.edu]
Eyes
- Visual Impairment
A 20-year-old Caucasian woman presented to our institution with painless visual impairment in the right eye. [ncbi.nlm.nih.gov]
Musculoskeletal
- Arthritis
This case report presents the case of a polymorbid patient with a deformity-causing type of rheumatoid arthritis and a 1-year history of progressive symmetrical peripheral edema. [ncbi.nlm.nih.gov]
Pericarditis Pitting (edema) (see also Edema) 782.3 lip 782.3 Retention, retained water (in tissue) (see also Edema) 782.3 Secretan's disease or syndrome (posttraumatic edema) 782.3 Swelling 782.3 inflammatory - see Inflammation white - see Tuberculosis, arthritis [icd9data.com]
Psoriatic arthritis, Retroperitoneal fibrosis, Chronic dermatitis Malignancies Surgeries: Lymphadenectomy, Surgery of prostate, uterus or cervix, Reconstructive arterial surgeries Irradiation By age: At Birth: Prematurity, amniotic bands, Milroy’s disease [epomedicine.com]
- Muscle Weakness
Oral diuretics can cause harm such as hypokalemiaand muscle weakness, hyponatremia and altered mental state, deepvein thrombosis and pulmonary embolism, and many other direct andindirect side effects of these pharmacologic agents. [renalandurologynews.com]
Patients with polymyositis and dermatomyositis generally present with gradual onset of muscle weakness that typically first affects the proximal muscles of the pelvic girdle and thighs and later involves the proximal musculature of the upper limb. [ajronline.org]
In people with heart failure due to weak heart muscle (cardiomyopathy), both the right and left ventricles of the heart are usually affected. [medicinenet.com]
- Bone Pain
The case of a patient who experienced bone marrow edema and pain in both feet and a compression fracture of one heel bone after several months of everolimus use is reported. [ncbi.nlm.nih.gov]
Carpal tunnel syndrome, diffuse aching, morning stiffness and muscle/bone pains as well as headaches often accompany the swelling. It can also masquerade as premenstrual syndrome or make existing premenstrual syndrome worse. [diagnose-me.com]
Skin
- Pruritus
Often, the patient has legs that are painful, itchy (pruritus), or burning, and the legs become so severely compromised that the patient is at risk of a severe infection. [healdove.com]
- Alopecia
We describe a 38-year-old woman with chronic left upper eye lid edema and erythema from one year ago which was induced by steroid injection for left eyebrow alopecia. [ncbi.nlm.nih.gov]
Neurologic
- Headache
Valproate has been a drug of choice for the treatment of generalized or partial seizures as monotherapy or adjunctive therapy, bipolar disorder, for the prophylaxis of migraine headache in adults. [ncbi.nlm.nih.gov]
Edema in the brain can lead to both short-term and long-term issues, such as headache, memory loss, seizures and impaired speech. [rush.edu]
Symptoms include headache, neck pain or stiffness, whole or partial vision loss, change in consciousness or mental state, nausea, vomiting, and dizziness. Macular edema: This is a serious complication of diabetic retinopathy. [medicalnewstoday.com]
- Dizziness
PATIENT CONCERNS: Two patients who received brain radiotherapy developed clinical manifestations of brain edema, including dizziness, headache, limb activity disorder, and so on. [ncbi.nlm.nih.gov]
Many symptoms can suggest the onset of the disease, including shortness of breath (dyspnea), fatigue, dizziness or fainting spells (syncope), pain or pressure in the chest, swollen abdomen (ascites), bluish color in the lips and skin (cyanosis), or irregular [pulmonaryhypertensionnews.com]
Symptoms include headache, neck pain or stiffness, whole or partial vision loss, change in consciousness or mental state, nausea, vomiting, and dizziness. Macular edema: This is a serious complication of diabetic retinopathy. [medicalnewstoday.com]
Workup
Three patients with intractable epilepsy underwent a detailed neurologic and neuroradiologic workup to localize the site of epileptogenic foci. Two of the patients had mesial temporal lobe sclerosis, and the other patient had hypothalamic hamartoma. [ncbi.nlm.nih.gov]
[…] with diabetic nephropathy should be observed more closely Lipid and triglyceride levels: Elevated triglyceride and lipid levels increase the risk of retinopathy, while normalization of lipid levels reduces retinal leakage and deposition of exudates See Workup [emedicine.medscape.com]
New Advances in the Diagnostic Workup of Primary Aldosteronism. J Endocr Soc. 2017 Mar 1. 1 (3):149-61. [Medline]. [Full Text]. [Guideline] Funder JW, Carey RM, Fardella C, Gomez-Sanchez CE, Mantero F, Stowasser M, et al. [medscape.com]
Treatment
One subject showed no significant change, whereas another showed a statistically significant increase in TRT despite the treatment. No subject was found to have photoreceptor damage following treatment. [ncbi.nlm.nih.gov]
Prognosis
Pulmonary hypertension (PH) is a disease with a poor prognosis and is a risk for perioperative heart and respiratory failure. Few reports exist regarding a colectomy performed in patients with PH. [ncbi.nlm.nih.gov]
[…] altitude sickness, pregnancy, hypertension, sickle cell anemia, a compromised lymphatic system or merely long periods of time sitting or standing without moving.[1] Some medicines (e.g. amlodipine, pregabalin) may also cause or worsen the condition.[2] Prognosis [en.wikipedia.org]
Prognosis; Seek medical attention if... The prognosis for edema of the legs depends on the cause. For most people with edema, the prognosis is excellent. [diagnose-me.com]
Etiology
The patient did not meet the Duke criteria for infective endocarditis.(1) Acute myocarditis (from HIV or other viral etiologies): Although this may have been the historical etiology of cardiac dysfunction, lack of acuity and absence of chest pain made [hivinsite.ucsf.edu]
The etiology and pathogenesis of macular edema is intricate and multifactorial, in which the hyperglycemic state in diabetes induces a microangiopathy. [ncbi.nlm.nih.gov]
Malnutrition Lymphedema Chronic venous insufficiency Post-thrombotic syndrome References:[1][2][3][4] Lymphedema Definition: edema associated with lymphatic obstruction and reduced fluid clearance due to compromised lymphatic vessels or lymph nodes Etiology [amboss.com]
Elevated systemic blood pressure can be considered an etiology of LV outflow obstruction because it increases systemic resistance against the pump function of the left ventricle. [emedicine.medscape.com]
Whether all or only some of these features can be appreciated on the plain chest radiograph, depend on the specific etiology 1. [radiopaedia.org]
Epidemiology
[…] proliferative diabetic retinopathy. [5] A study suggests that the pathogenesis of diabetic macular edema is not only related to VEGF dependency but also to other inflammatory and angiogenic cytokine levels that can be suppressed by corticosteroids. [6] Epidemiology [emedicine.medscape.com]
Epidemiology and etiology of cardiomyopathy in Africa. Circulation. 2005 Dec 6;112(23):3577-83. Review. 5. Report of the WHO/ISFC task force on the definition and classification of cardiomyopathies. Br Heart J. 1980 Dec;44(6):672-3. 6. [hivinsite.ucsf.edu]
SFE/SFHTA/AFCE consensus on primary aldosteronism, part 1: Epidemiology of PA, who should be screened for sporadic PA?. Ann Endocrinol (Paris). 2016 Apr 15. 86 (20):1002-8. [Medline]. [Full Text]. Douillard C, Houillier P, Nussberger J, Girerd X. [medscape.com]
Pathophysiology
Although it is possible to construct a pathophysiologic framework (Figure 17-1) for the differential diagnosis of edema, it is more useful clinically to use the distribution of the edema as the pivotal point: Figure 17-1. Pathophysiology of edema. [accessmedicine.mhmedical.com]
It is of utmost importance to investigate various possible causes and understand the pathophysiological mechanisms of chronic peripheral edema in order to determine the optimal treatment. [ncbi.nlm.nih.gov]
Topics Include: - Definition of Edema \ Oedema - Pathophysiologic Categories of Edema \ Oedema - Capillary Hydrostatic Pressure & It's Role - Plasma Osmotic Pressure & It's Role - Edema Due to Lymphatic Obstruction \ Lymphedema - Edema Due to Retention [youtube.com]
Prevention
Is It Possible to Prevent Edema? Depending on the cause of the edema, you may not be able to prevent it from happening. [novusspinecenter.com]
Early treatment can prevent serious complications. Traditional treatments may include elevation or compression pumps. Decongestion therapy has been shown to be a very effective treatment to improve the condition. [witham.org]
If a person is suffering from edema, there are many treatments that can prevent it. If a person experiences edema, they should see their family doctor for a complete evaluation. Dr. Gordon J. [theledger.com]
Oleamide compounds purified from green algae have been used for the prevention and treatment of atherosclerosis, thrombosis, arthritis, and cancer. They function through their metabolic conversion into prostaglandins, thromboxanes, and leukotrienes. [ncbi.nlm.nih.gov]
Prevention You can reduce your risk of edema by taking steps to prevent kidney disease and heart failure from developing. Explore Diabetes and Swelling Join the Diabetes Newsletter [diabetes.co.uk]