Oedema & Congestion

1.A 6 year old school going boy was brought by his father to the Paediatric OPD with complaints of swelling in the face and leg for the past one week with passing of reduced amount of high coloured urine since 3 days. The father also gave a past history of the boy having scabies, detected and treated in his school health programme. On examination the boy is under nourished, periorbital edema present, pedal edema present. His Blood pressure was 130/100 mm of Hg.Pulse rate was 94/mt regular.

• a) What is your provisional diagnosis
• b) Aetiopathogenesis of this condition
• c) List the investigations and their interpretations to support your diagnosis
• d) What is the prognosis of this condition
• e) Enumerate the common complication of this condition

2.Define edema. Discuss the pathophysiologic causes of edema. Describe the features of an exudate

1.Define edema and describe the various pathogenetic mechanisms involved in different

2.A 55 years old man presented with generalised edema and shortness of breath.On examination he has distended jugular veins. He gives previous history of rheumatic heart disease. What is your diagnosis. Describe the gross and microscopic features of liver, spleen and lung. What is the pathogenesis of edema in this case

1.Cardiac edema

2.Pathogenesis of renal oedema

1.Characteristic microscopic finding in Chronic venous congestion Spleen is …………

2.Describe the gross appearance of Chronic venous congestion liver

3.Name one cause for increase in hydrostatic pressure leading to edema

1.(A): Gandy Gamna Bodies are seen in chronic venous congestion of Spleen

• (R): Chronic venous congestion of spleen causes right sided heart failure
• a) Both A & R are correct and R is the reason for A
• b) Both A & R are correct but R is not reason for A
• c) A is correct R is incorrect
• d) A is incorrect R is correct