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Edema doesn’t always mean “don’t give fluids.” Sometimes the sickest-looking patients are actually intravascularly depleted — and missing that can cost them perfusion. An edematous patient may still need fluids or blood when: 🚨 They are in hemorrhagic shock Trauma patients can appear swollen from injury or third spacing while actively bleeding. Blood products remain the priority — not diuretics. 🚨 They have distributive shock (like sepsis) Capillary leak pushes fluid into the tissues, but the
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Dr. Isacc Abbas on Instagram: "Finger pressure over markedly edematous subcutaneous tissue displaces the interstitial fluid and leaves a depression, a sign called pitting edema. Edema may be caused by factors like Increased hydrostatic pressure, Decreased colloid osmotic pressure. #edema #pittingedema"
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