Agioedema Research Paper

SKIN: She has some mild ecchymosis on her skin, and some erythema. She has patches but no obvious skin breakdown. She has some fissuring in the buttocks crease. PULMONARY: Clear to percussion and auscultation bilaterally. CARDIOVASCULAR: No murmurs or gallops noted. ABDOMEN: Soft, nontender, protuberant, no orgonomegaly, and positive bowel sounds. NEUROLOGIC EXAM: Cranial nerves II through XII are grossly intact. Diffuse hyporeflexia. MUSCULOSKELETAL: Erosive, destructive changes in the elbows, wrists, and hands consistent with rheumatoid arthritis. Has bilateral total knee replacements with stovepipe legs, and perimalleolar pitting edema 1 +. I feel no pulses distally in either leg. PSYCHIATRIC: Patient is a little anxious about these new symptoms and their significance. We discussed her situation and I offered her psychologic services. She refused for now.

certain swellings, either on the groin or under the armpits grew to be bigger than that of a

Laboratory: CK 41, aldose 5.7, CCP 5, rheumatoid factor 10.8, ANA negative, ANCA is less than 1:20, P-ANCA less than 1:20, hypersensitivity pneumonitis panel is negative, anti-Jo-1 is less than 0.2, scleroderma antibody is less than 0.2, IDE total 5. CBC within normal limits.

This is an up dated review of the disease, manifestations, and potential treatment options available.

-Auscultate the breath sounds. This will indicates any occurrence of additional complications such as accumulation of fluid.

Swelling and increased fluid in the lungs may also be a sign to look for. A steady tracking of the symptoms and health history of the person should be taken into consideration as well.

Increased levels of pro-inflammatory cytokines and chemokines result in an infiltration of inflammatory cells forming plexiform lesions consisting of T cells, B cells and macrophages (Savaj et al., 2012). Scleroderma, or systemic sclerosis, is a connective tissue disease characterized by a thickening of the skin. Accumulation of collagen by fibroblasts, platelet adhesion and a type II hypersensitivity reaction lead to endothelial damage. Endothelial damage and decreased vasodilatation result in increased arterial pressure leading to PAH (Mclaughlin, 2009). Patients generally have a poor prognosis unless detected early, as a cure for slceroderma does not exist.

This is a 62-year-old female who required inpatient hospitalization due to ride-sided empyema. She was transferred from another inpatient facility to Mercy San Juan due to complaints of shortness of breath accompanied by cough and chest pain. Prior to admission, she had a chest x-ray that showed patchy right lower lobe opacity that represents pneumonia and pleural effusion. Moreover, her CT chest revealed right lower lobe pulmonary necrosis in the medial right lower lobe and pleural effusion with right middle lobe atelectasis. She received azithromycin and Rocephin and was evaluated by the Pulmonologist. Her past medical history is significant for COPD and Hyperlipidemia. Vital signs included of a blood pressure of 144/77 mmHg and an oxygen

Angioedema is sudden swelling in the body. The swelling can happen in any part of the body. It often happens on the skin and causes itchy, bumpy patches (hives) to form.

Atopic dermatitis tends to develop in childhood , sometimes immediately after birth. Many children outgrow eczema, but it can recur in adulthood. This type is usually hereditary and is more common if you have other atopic diseases, such as asthma or hay fever.

Also known as dermatitis, eczema is one of the most common inflammatory skin conditions where, in the acute phase, the victims develop red raised lesions, oozing and crusting. At this stage, the patients are advised to avoid rubbing or scratching which may lead to the chronic stage of the disease, characterized by the red, darkened, thickened and scaly patches of the skin. On the basis of the particular cause and appearance, different types of eczema have been identified and all the cases are usually very itchy and red and may spread and worsen with scratching. More precisely, the symptoms involve irritating patches of dry, swollen, scaly, rough, cracked and reddened skin visible on the scalp, legs, ears, nose, arms and certain other areas

Case :- A 17-year-old female presents to her local hospital 's E.R. at 7:45 in the morning on a school day. She appears apprehensive and uncomfortable. She winces and splints her chest to the right side when she coughs. She is examined by the attending resident.

Lymphedema is a progressive disease resulting from congenital abnormalities, injury or infection of the lymphatic system (ly et al. 1).people who suffer from this disease are known to obtain symptoms like swelling, fibrosis of the affected region, which may result to practical complication, reduce virtue of life, repeated infection. Lymphedema is classified into primary and secondary. Secondary lymphedema is mostly caused by lymphatic injury (Ly et al. 1).

The patients also experience changes in their voices and even develop skin ulcerations as shown in figure 1.

On examination, she was febrile. Skin examination showed generalized erythema with scaling. Mucosal examination revealed stomatitis. No abnormality was found on systemic examination.