Edematous syndrome - excess fluid accumulation in body tissues and serous cavities, accompanied by an increase or decrease in the volume of tissue serous cavities with the change of the physical properties (turgor, elasticity) and the function of tissues and organs lasix eye surgery.
Differentiation of edema caused by systemic pathological conditions, from those which are based on local disorder can variirovat in complexity from a simple and clear clinical tasks to a very difficult and challenging diagnostic problem. Swelling may be a result of increased capillary permeability, prevents the outflow of venous blood or lymphatic system; liquid can accumulate in the tissues due to a decrease in plasma oncotic pressure.
Edematous syndrome is an important symptom of many diseases of organs and systems of regulation and of a type commonly used for differential diagnosis of diseases caused by edema syndrome. There are local (local) edema syndrome associated with fluid balance infringement in a limited area of the body or bodies and the general edema syndrome as a manifestation of a positive fluid balance in the body. In diseases caused by edema, are distinguished: cardiac, renal, portal (ascites), limfostatichesky, angioedema, and others.
How to allocate a separate form of lung edema, swelling and brain swelling, laryngeal edema, hydrothorax, hydropericardium et al., Life-threatening complications or because the swelling is easily exposed infitsirovavaniyu.
The preferential localization and character of edema have features in various diseases that are used for their differential diagnosis.
Clinically, general edema syndrome becomes visible when retention in the body more than 2-4 liters of water, local edema syndrome is detected at a smaller gathering of fluid. Peripheral edema syndrome is accompanied by an increase in volume of a limb or body part, swelling of the skin and subcutaneous tissue, decreasing their elasticity. On palpation determined doughy texture of the skin, when pressed with your finger remains fossa, which quickly disappears, which makes them different from false edema, such as myxedema, he pressed hard, the fovea is held from a few minutes to several hours, and in scleroderma, localized adiposity fossa generally is not formed. The skin is pale or cyanotic, can crack with the expiration through the cracks of serous fluid or swollen lymph formations with ulcers on the background of myxedema.
Depending on the cause venous edema can be both acute and chronic. For acute DVT typical pain and tenderness over the affected vein. Thrombosis of the larger veins are usually also observed increase in superficial venous pattern. If chronic venous insufficiency caused by varicose veins or failure (postflebiticheskoy), deep vein thrombosis, is to be added orthostatic edema symptoms of chronic venous stasis, congestive pigmentation and trophic ulcers.
This species belongs to the local edema edema; they are usually painful, prone to progression, and are accompanied by symptoms of chronic venous stasis. On palpation dense area of swelling, thickened skin ( "pig skin" or orange peel "), when picked limb swelling decreases more slowly than with venous edema. There are forms of idiopathic and inflammatory edema (the most common cause of the last - tinea) and obstructive (as a result of surgery, scarring during radiation injury or neoplastic processes in the lymph nodes), leading to limfostazom. Prolonged lymph edema leads to the accumulation of the protein in the tissues, followed by the growth of collagen fibers and body deformation - elephantiasis.
Lack of thyroid (hypothyroidism), among other symptoms manifested myxedema - generalized puffiness of the skin. The skin is pale, sometimes with a yellowish tinge, dry, scaly, thick. Pronounced mucosal edema subcutaneous tissue, especially on the face, shoulders and legs. When pressed on the skin is left fossa (psevdootёchnost). We have the attendant symptoms of hypothyroidism (reduction of all types of exchange, bradycardia, depression, decline of attention, hypersomnia, muffled voice, etc.), And reduced the content of thyroid hormones in the blood.
Fat swelling. This type of swelling occurs in women and is manifested noticeable symmetrical obesity feet. The usual complaint is that placing the doctor is "swollen legs", which actually takes place, and is amplified in orthostatic position. They are usually amplified before menstruation, when bathing in warm water, prolonged sitting or uncontrolled use of salt. Area edema soft, pressure-sensitive appears recess, there are no symptoms of chronic venous stasis; the continued existence of these edemas avoids deep vein thrombosis. In a patient with fat edema of the foot and toes do not change, while in other types of lower limb edema, they swell. Diagnostic difficulties arise with concomitant varicose veins, but the symmetry of the lesions and the typical location of body fat, as well as the normal form of the foot and toes should help in establishing the correct diagnosis.
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