Philip
Forum Newbie
Topics: 2
Posts: 2
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Could anyone offer me some help?
A 14-year-old boy with thalassemia major requires regular blood transfusion. One morning, his mother noted that he had swelling around his eyelid upon waking up, there were no other complaints from the boy. What is the most likely cause for his problem?
A. Anemia
B. Renal failure
C. Heart failure
D. Liver failure
I immediately think about cardiomyopathy-related heart failure due to iron overload, but then the signs and symptoms do not quite fit as there is no PND or orthopnea, and heart failure patients always present with ankle edema, rather than peri-orbital edema.
So I'm thinking about the possibility of renal failure, could anyone offer me some help?
Thanks!
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| hir
Forum Guru
Topics: 4
Posts: 525
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anaemia...???????
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| Vietnamese
Forum Elite
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Anemia
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Nothing is impossible.
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| Oussama77
Forum Junior
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renal failure..
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| docdoc9
Forum Guru
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b.renal failure
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| Eagle_303
Forum Guru
Topics: 77
Posts: 655
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Edema of eyelids only is of renal origin.
Generally speaking
Cardiac edema = starts from the dependent areas ,feet in ambulant patients and sacral area in the recumbant person
Liver edema = starts from the ascitese
Renal edema = starts from the face (periorbital)
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