Differential diagnosis and treatment edema. Tactics gp

Allergic swelling.
- Allergic swelling appear in the form of so-called angioedema, sometimes with hives and other allergic diseases (asthma, vasomotor rhinitis, hay fever).
- Urticaria and angioedema more common in girls.
- A few minutes after exposure to the allergen on the skin of the patient appears erythema, then there urticaria, itching badly elements.
Skin rashes are very diverse: nodular, blisters of various sizes and shapes.
- In response to the food before the typical rash patient feels tingling tongue, lips, palate, edema in these areas, often a sharp pain in his stomach. Be perioral and perianal dermatitis.
- A new observation, conjunctivitis, rarely - difficulty breathing due to swelling of the larynx. Sometimes patients develop vomiting, collapse, anaphylaxis.
Miksedematoznye swelling
- Significant for expressions of primary and secondary hypothyroidism due to a lack of thyroid hormone in the body.
- This leads to increased gipofilnosti tissues that swell more than normal.
- Characteristic:
drowsiness, lethargy, loss of memory, slow speech, movements, fatigue, decreased performance, arthralgia.
- Swelling of the face and limbs, pits on pressure remains.The nature of edema fluid like mucus (mucous edema, myxedema).- Skin dry, pale, with a yellowish tinge.
- Breakage and loss of hair on the head of the lateral third of the eyebrows.
- Language thickened at the edges - impressions of teeth.
- Hoarseness.
- Reduction in body temperature.
- Bradycardia, voiceless heart tones, sometimes a normal heart rate, rarely tachycardia.
- The tendency to hypotension in 10-20% of patients with hypertension, which usually decreases or disappears during treatment with thyroid preparations.
- Often develops hypochromic and IDA.
- Some patients may develop laktoreya and amenorrhea.
Inflammatory edema are local, such as around the boil, carbuncle, cellulitis and other purulent lesions. Mechanism of their formation is associated with propotevanie fluid from blood vessels in the area of ​​inflammation, which accumulate in large amounts of hydrogen ions. A distinctive feature of the inflammatory edema is flushing of the skin, pain at rest or on palpation, increased local temperature.They usually occur on one leg or arm. Not accompanied by changes in urine, except for a small transient proteinuria (in traces), as a result of high fever and intoxication.