Abstract:
The management of edema requires a systematic approach to screening, diagnosis, and treatment, with an essential initial assessment to differentiate between generalized and localized edema. The Association of Physicians of India (API) aimed to develop the first Indian Edema Consensus (Edema India), offering tailored recommendations for screening, diagnosing, and managing edema based on the insights from the expert panel. The panel suggested when evaluating edema symptoms, important factors to consider include the patient\'s current illness, medical history, risk factors, family history, and medications. Key diagnostic investigations for edema include complete blood count, cardiovascular imaging and markers, deep vein thrombosis (DVT) assessment, along with renal, hepatic, and thyroid function tests. Edema management involves a combination of pharmacologic and nonpharmacologic interventions, including limb elevation, physiotherapy, compression therapy, fluid removal, diuretics (loop diuretics: first-line therapy), and a sodium-restricted diet. The panel believed that educating patients could foster a preventive mindset, helping to prevent the worsening of edema.
摘要:
水肿的管理需要系统的筛查方法,诊断,和治疗,进行必要的初步评估,以区分全身性和局限性水肿。印度医师协会(API)旨在制定第一个印度Edema共识(EdemaIndia),提供量身定制的筛查建议,诊断,并根据专家小组的见解管理水肿。小组建议在评估水肿症状时,要考虑的重要因素包括患者目前的病情,病史,危险因素,家族史,和药物。水肿的主要诊断检查包括全血细胞计数,心血管成像和标志物,深静脉血栓形成(DVT)评估,连同肾脏,肝,和甲状腺功能检查.水肿管理涉及药物和非药物干预的组合,包括肢体抬高,物理治疗,压迫治疗,流体去除,利尿剂(环路利尿剂:一线治疗),和限制钠的饮食。小组认为,对患者进行教育可以培养预防心态,有助于防止水肿恶化。