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
- 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.
Select from the following alphabetical view of conditions which
include a symptom of Face swelling or choose View All.
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