Cirrhosis Common Findings and Diagnosis Approaches

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29 Questions

What should prompt consideration for congestive heart failure?

Presence of dyspnea or orthopnea

Which condition may be suggested by heat intolerance, fatigue, and weight loss?

Graves disease

What can disrupt lymphatic drainage resulting in lymphedema?

Previous radiation or surgery to an extremity

Which of the following is associated with CVI, DVT, or early lymphedema?

Pitting edema

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

Lipedema

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

Lipedema

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

Lymphoscintigraphy

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

Ruscus extract and horse chestnut seed

In which compartment does edema result from excess fluid accumulation?

Interstitial fluid compartment

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

Decreased permeability of the endothelial barrier

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

Compression therapy

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

Two-thirds

Which of the following is a common finding for cirrhosis?

Ascites

What should the initial laboratory workup include for evaluating edema?

Brain natriuretic peptide levels

What is a practical diagnostic approach for stratifying edema?

Based on duration and location

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

High Wells score

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

D-dimer testing

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

Simultaneously with initial compression therapy

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

DVT, cellulitis, trauma, and hematoma

How does exercise benefit patients with lymphedema?

It promotes lymphatic flow by activating surrounding muscles

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

To prevent skin infections

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

To evaluate for tissue debulking or lymphovenous bypass surgery

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

Adding manual lymphatic drainage to compression bandages reduces swelling

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

Evaluation of d-dimer in the diagnosis of suspected deep-vein thrombosis

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

Reliability and feasibility of methods to quantitatively assess peripheral edema

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

Edema: diagnosis and management

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

Drug-induced peripheral oedema: an aetiology-based review

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

Risk factors for venous thromboembolism

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

Effects of preventive use of compression stockings for elderly with chronic venous insufficiency and swollen legs: a systematic review and meta-analysis

Learn about common findings for cirrhosis, such as ascites and spider nevi, along with a practical diagnostic approach. Explore how stratifying edema based on duration and location can help narrow down the differential diagnosis effectively.

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