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Diagnostic Tests for Face swelling

Diagnostic Test list for Face swelling:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Face swelling includes:

  • Eye examination
    • Eye movements may be restricted in orbital cellulitis or cavernous sinus thrombosis
  • Physical examination
    • Body mass index ( obesity may cause facial swelling)
    • Blood pressure will be high in a pregnant woman with preeclampsia, Cushing's syndrome, glomerulonephritis
    • Palpate the bones overlying the sinuses for tenderness which may indicate acute sinusitis, orbital cellulitis or cavernous sinus thrombosis
    • Look for the butterfly facial rash of systemic lupus erythematosus
    • Palpate the parotid glands for enlargement which may be due to mumps, sarcoidosis, lymphoma, alcohol excess, malnutrition, bulimia nervosa, severe dehydration, salivary gland stone, parotid gland tumor
    • Look for signs of superior vena caval obstruction such as swollen face especially around the eyes, distended neck and chest veins, proptosis (forward displacement of the eyeball)
    • Examine for signs of Cushing's syndrome? - e.g. thin skin, bruising, high blood pressure, stretch marks, proximal muscle weakness, acne, pigmentation, excess hair on face, frontal balding in males, moon face, buffalo hump, truncal obesity, fluid retention.
    • Neck lymph nodes may be enlarged in lung cancer, Chagas' disease
  • Blood tests
    • Renal function tests
    • Blood sugar may detect diabetes which can cause nephrotic syndrome
    • Albumin will be low in nephrotic syndrome
    • Elevated triglycerides and LDL cholesterol in nephrotic syndrome
    • Electrolytes - looking for low potassium in Cushing's syndrome due to adrenal tumors.
    • Thyroid function test, to detect hypothyroidism
    • Long Dexamethasone suppression test - diagnoses Cushing's syndrome and can differentiate pituitary from adrenal cause of Cushing's syndrome.
    • ANA may detect systemic lupus erythematosus
    • Serum electrophoresis may detect myeloma which can cause amyloid and consequent nephrotic syndrome
    • Trichinella spiralis serology - if suspect trichinosis.
  • RAST allergy tests - if suspect allergies.
  • Urine tests
  • 24 Hour urinary protein - elevated in nephrotic syndrome, glomerulonephritis and preeclampsia.
  • 24 hour Creatinine excretion - is elevated in dermatomyositis.
  • 24 hour Urinary free cortisol measurement - if suspect Cushing's syndrome.
  • Radiological investigations
    • Brain CT and carotid angiography - if suspect cavernous sinus thrombosis.
    • Adrenal gland CT scan may detect adrenal tumors that may cause 15% of cases of Cushing's syndrome
    • Pituitary gland CT scan or MRI - may detect pituitary tumor that may cause 60% of cases of Cushing's syndrome.
    • Chest X-Ray and/or Ct scan may detect a lung cancer that rarely may produce ACTH hormone that can cause Cushing's syndrome; lung cancer may cause a superior vena caval obstruction
  • Skin prick allergy tests - if suspect allergies to be the cause.
  • Throat swab - if suspect streptococcal throat infection as a cause of nephrotic syndrome.
  • Swab of eye discharge - if present for microscopy and culture; may be required in some circumstances e.g. essential with conjunctivitis in newborn to detect possible Chlamydia , gonorrhea or herpes simplex infections; if bacterial conjunctivitis is severe or prolonged.
  • Skin and muscle biopsy - if suspect dermatomyositis.

Conditions listing medical symptoms: Face swelling:

The following list of conditions have 'Face swelling' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

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