33. Differential diagnosis of edema in childhood.

Question 1

Types of Edema

Answer 1

• Localized
  
  • ascites
  • pleural effusions)
• Generalized
  
  • increased capillary pressure
  • decreased plasma protein concentration
    
    • increased losses
    • decreased uptake
  • impaired lymphatic flow

Question 2

History and Physical examination for Edema

Answer 2

• Signs and symptoms of HF, Liver F, Renal disease
• Burns
• Growth parameters
• Vital signs
  
  • HF ► tachycardia & tachypnea
  • renal failure and glomerulonephritis ► hypertension
• Pitting ► peripheral edema
• no-pitting ► lymphedema, thyroid disease