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What Causes Swelling Around Neck In An Elderly?
My 89 yr old mother suddenly cannot hold her head in a normal position. She presents swelling of anterior neck and extremities. She has dementia making this more difficult. She has symmetrical pupils an BP of 130/86. Recent medication change for low thyroid is 25mg of synth horrid. Any suggestions?
Mon, 19 Jan 2015
Hi,
Welcome to HCM
As it appears from the history given, the major complaints are
Swelling over anterior of neck and on the extremities.
Considering her age and thyroid status, here are some following Likely conditions with the similar presentation
Swelling due to thyroid disease,
Cardiac condition
Renal condition
A history regarding the associated symptoms of breathlessness, swelling over legs, pitting of the edema on pressure,etc if present, are suggestive of cardiac condition.
A generalised edema over face and body is more suggestive of renal cause.
Considering her thyroid status, I would suggest a repeat of thyroid function tests, 2d Echo to rule out cardiac cause and renal function test fro renal cause. A consultation to local general physician is very much advisable.
Welcome for further suggestions
Regards,
Dr Pankaj Borade
Welcome to HCM
As it appears from the history given, the major complaints are
Swelling over anterior of neck and on the extremities.
Considering her age and thyroid status, here are some following Likely conditions with the similar presentation
Swelling due to thyroid disease,
Cardiac condition
Renal condition
A history regarding the associated symptoms of breathlessness, swelling over legs, pitting of the edema on pressure,etc if present, are suggestive of cardiac condition.
A generalised edema over face and body is more suggestive of renal cause.
Considering her thyroid status, I would suggest a repeat of thyroid function tests, 2d Echo to rule out cardiac cause and renal function test fro renal cause. A consultation to local general physician is very much advisable.
Welcome for further suggestions
Regards,
Dr Pankaj Borade
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