Heat edema: Difference between revisions
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==Background== | ==Background== | ||
*Commonly seen in travelers just arriving from a colder climate<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339-1344</ref> | *Commonly seen in travelers just arriving from a colder climate<ref>Waters T. Heat Emergencies In: Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. McGraw Hill Medical. 2011: 1339-1344</ref> | ||
*Thought to be from vasodilation, body attempts to shunt warm blood to periphery | |||
==Clinical Features== | ==Clinical Features== | ||
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
{{Template:Heat Emergencies}} | {{Template:Heat Emergencies}} | ||
{{Template:Bilateral pedal edema DDX}} | |||
==Evaluation== | ==Evaluation== | ||
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#Elevation of legs | #Elevation of legs | ||
#Use of support hose | #Use of support hose | ||
#Diuretics are contraindicated | #Diuretics are contraindicated (not beneficial and may cause dehydration) | ||
==Disposition== | ==Disposition== | ||
Latest revision as of 20:04, 6 February 2021
Background
- Commonly seen in travelers just arriving from a colder climate[1]
- Thought to be from vasodilation, body attempts to shunt warm blood to periphery
Clinical Features
- Self-limited, mild edema of feet, ankles, and hands[2]
- Appears within first few days of exposure to a hot environment
Differential Diagnosis
Environmental heat diagnoses
Bilateral leg swelling
- Pedal edema
- Gravitational
- Venous insufficiency
- Thrombophlebitis
- Drugs
- CHF
- Lymphedema
- Renal failure
- Liver failure
- Pregnancy
- Heat edema
- Idiopathic
- Other
Evaluation
- Clinical diagnosis
Management
- Elevation of legs
- Use of support hose
- Diuretics are contraindicated (not beneficial and may cause dehydration)
Disposition
- Outpatient
- Resolves spontaneously in days to weeks