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Chapter-17 Approach to Edema

BOOK TITLE: Principles and Practice of Pediatric Nephrology

Author
1. Vijayakumar M
2. Nammalwar BR
ISBN
9788180613043
DOI
10.5005/jp/books/11074_17
Edition
1/e
Publishing Year
2004
Pages
3
Author Affiliations
1. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Government Medical College, Manjeri, Kerala, India, Pediatric Kidney Foundation, Chennai, Dr Mehta’s Hospitals Pvt Ltd., Chennai, Government Medical College, Kozhikode, Kerala, India, Mehta Children’s Hospital, Chetpet, Chennai, Tamil Nadu, India, Government Medical College, Kozhikode, Kerela, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, Mehta’s Children Hospital, Chennai, Tamil Nadu, India, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, Dr. Mehta’s Hospital; Chennai Pediatric Kidney Foundation, Chennai, India, Chennai Pediatric Kidney Foundation, Dr Mehta’s Hospitals Pvt. Ltd, Chennai, National Botanical Research Institute, Lucknow-226 001, India, Medical College, Alappey, Kerala, Manipal Institute of Nephrology and Urology, Manipal Hospital, Bangalore, Karnataka, India, Kanchi Kamakoti, Childs Trust Hospital, Chennai
2. Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS, Trust Hospital, Chennai, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India, Institute of Child Health, Hospital for Children; Mehta Children Hospital, Chennai, Tamil Nadu, Mehta Children’s Hospital, Chennai, Tamil Nadu, India, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, Mehta's Multispeciality Hospital, Chennai, Tamil Nadu, India, Institute of Child Health, Hospital for Children and Dr Mehta’s Children’s Hospital, Chennai, Tamil Nadu
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Abstract

Edema is a cardinal sign of renal disease. Edema is defined as abnormal collection of fluid within the interstitial tissue and often associated with fluid collection in the third space namely pleural, abdominal and pericardial space. Edema can occur in renal and cardiac diseases or as a manifestation of angioedema and hypoproteinemia. Edema of renal origin has a characteristic feature of early morning onset of edema around the eyelids disappearing with erect posture. It is necessary to evaluate the clinical condition and therapy is modified accordingly. In acute glomerulonephritis and in acute renal failure the use of diuretic is acceptable. In chronic renal failure with non-edematous condition diuretics will not be of any use. A child with normal FENa and a reduced UK/UK+UNa ratio indicates that edema can be treated with diuretics.

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