Cirrhosis Common Findings and Diagnosis Approaches
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Questions and Answers

What should prompt consideration for congestive heart failure?

  • Bilateral lower-extremity edema sparing the dorsum of the feet
  • Lack of pitting edema
  • Heat intolerance, fatigue, and weight loss
  • Presence of dyspnea or orthopnea (correct)
  • Which condition may be suggested by heat intolerance, fatigue, and weight loss?

  • Deep vein thrombosis
  • Graves disease (correct)
  • Superficial venous thrombosis
  • Lipedema
  • What can disrupt lymphatic drainage resulting in lymphedema?

  • Orthopnea
  • Pretibial myxedema
  • Active malignancy
  • Previous radiation or surgery to an extremity (correct)
  • Which of the following is associated with CVI, DVT, or early lymphedema?

    <p>Pitting edema</p> Signup and view all the answers

    What does bilateral lower-extremity edema sparing the dorsum of the feet suggest?

    <p>Lipedema</p> Signup and view all the answers

    What is typically associated with tenderness, according to the text?

    <p>Lipedema</p> Signup and view all the answers

    What is the recommended diagnostic test if the diagnosis of lymphedema is unclear?

    <p>Lymphoscintigraphy</p> Signup and view all the answers

    Which treatment is specifically mentioned for improving edema from chronic venous insufficiency?

    <p>Ruscus extract and horse chestnut seed</p> Signup and view all the answers

    In which compartment does edema result from excess fluid accumulation?

    <p>Interstitial fluid compartment</p> Signup and view all the answers

    Which of the following does NOT contribute to edema according to the text?

    <p>Decreased permeability of the endothelial barrier</p> Signup and view all the answers

    Which therapy is cited as effective for most causes of edema?

    <p>Compression therapy</p> Signup and view all the answers

    What percentage of total body water is in the intracellular compartment?

    <p>Two-thirds</p> Signup and view all the answers

    Which of the following is a common finding for cirrhosis?

    <p>Ascites</p> Signup and view all the answers

    What should the initial laboratory workup include for evaluating edema?

    <p>Brain natriuretic peptide levels</p> Signup and view all the answers

    What is a practical diagnostic approach for stratifying edema?

    <p>Based on duration and location</p> Signup and view all the answers

    What is more useful than any single clinical feature in diagnosing DVT?

    <p>High Wells score</p> Signup and view all the answers

    What should patients with a low pretest probability of DVT undergo?

    <p>D-dimer testing</p> Signup and view all the answers

    What is the recommended timing to start manual lymphatic drainage for patients with lymphedema?

    <p>Simultaneously with initial compression therapy</p> Signup and view all the answers

    What potential causes should be considered in the differential diagnosis with acute lower-extremity edema?

    <p>DVT, cellulitis, trauma, and hematoma</p> Signup and view all the answers

    How does exercise benefit patients with lymphedema?

    <p>It promotes lymphatic flow by activating surrounding muscles</p> Signup and view all the answers

    Why should patients with lymphedema monitor their skin and use moisturizers?

    <p>To prevent skin infections</p> Signup and view all the answers

    For what reason should patients with persistent or progressive symptoms be referred to a lymphatic surgeon?

    <p>To evaluate for tissue debulking or lymphovenous bypass surgery</p> Signup and view all the answers

    In the context of reducing swelling in patients with lymphedema, what was the finding of the 2015 Cochrane review regarding manual lymphatic drainage?

    <p>Adding manual lymphatic drainage to compression bandages reduces swelling</p> Signup and view all the answers

    Which publication is focused on evaluating the use of d-dimer in diagnosing suspected deep-vein thrombosis?

    <p>Evaluation of d-dimer in the diagnosis of suspected deep-vein thrombosis</p> Signup and view all the answers

    Which publication would be most relevant for assessing peripheral edema quantitatively?

    <p>Reliability and feasibility of methods to quantitatively assess peripheral edema</p> Signup and view all the answers

    Which publication would be best suited for exploring the diagnosis and management of edema?

    <p>Edema: diagnosis and management</p> Signup and view all the answers

    Which publication would be most relevant for studying drug-induced peripheral edema?

    <p>Drug-induced peripheral oedema: an aetiology-based review</p> Signup and view all the answers

    In which publication would one find information on risk factors for venous thromboembolism?

    <p>Risk factors for venous thromboembolism</p> Signup and view all the answers

    Which publication would be most suitable for exploring the effects of preventive use of compression stockings for elderly with chronic venous insufficiency?

    <p>Effects of preventive use of compression stockings for elderly with chronic venous insufficiency and swollen legs: a systematic review and meta-analysis</p> Signup and view all the answers

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