Question 15 Your new next door neighbor, Sarah, knows that you are training as a

Question

Question 15

Your new next door neighbor, Sarah, knows that you are training as a healthcare professional and comes over to get your advice about swelling of her lower limb that is limited to her leg. You notice that you are unable to make an impression with your finger when pressure is applied and then released and that the skin in the area is thickened and discolored. Your first impressions upon meeting Sarah were that she was high-strung and a bit hyperactive. You notice now that her hands shake and that her eyes give her a startled appearance. You tell Sarah that you think she may have _________________ and that she should have her doctor check for _________________.

Salt and water retention; Kidney failure

Nonpitting (brawny) edema; Thyroid disease

Venous insufficiency; Heart failure

Salt and water retention; Kidney failure

Nonpitting (brawny) edema; Thyroid disease

Venous insufficiency; Heart failure

Explanation / Answer

pitting type phenomenon is used to check heart and thyroid disease condition. But current symptoms like hand shake and startled appearence denotes thyroid problem (might be hyper thyroidism).

so, symptoms conclude possibility of non pitting edema and thyroid disease.

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