Medical history (history of illness) represents an important component in the diagnosis of facial swelling. Family history What is the general health of your family members? Are there any diseases in your family that are common? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). How long has the swelling … Facial Swelling: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Cushing’s disease – group of disorders leading to hypercortisolism (hypercortisolism; excess of cortisol). Myxedema in thyroid dysfunction (e.g., Hashimoto’s thyroiditis, hypothyroidism, Graves’ disease) – pasty (puffy; bloated) skin showing non-push-in, doughy edema (swelling) that is not position-dependent; in the facial area and peripherally Skin and subcutaneous (L00-L99). Rosacea erythematosa … Facial Swelling: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body temperature, body weight, body height; furthermore: Inspection (viewing). Skin, mucous membranes and sclerae (white part of the eye). Cancer prevention Ophthalmological examination – if eye involvement is suspected. ENT medical examination – if diseases … Facial Swelling: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification Small blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Thyroid parameters – TSH, fT3, fT4.
Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnosis. Conventional radiography of the skull or computed tomography of the skull (cranial CT, cCT) – for suspected injuries or neoplasms. Sialography (X-ray contrast imaging of the salivary glands) – if … Facial Swelling: Diagnostic Tests
The following symptoms and complaints may occur together with facial swelling: Leading symptom Facial swelling; this can be differentiated as follows: Location of localization (e.g., forehead, eyelid, cheek, lip). Type of swelling: Localized Diffuse (evenly distributed) Painfulness: Yes No Associated symptoms Erythema (areal redness of the skin) Fever Lymphadenopathy (lymph node enlargement) Caveat. In case … Facial Swelling: Symptoms, Complaints, Signs
