Doctor insights on:
Flash Pulmonary Edema Treatment
Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more
Patient 75 yrs hypertensive diabetic with coarse crepitation and bilateral lower limb oedema
X_RAY cardiomegaly with congestion?
Consider sarcoidosis: Sacoidosis can cause diffuse micronodular changes in lung tissue and in the less common cases of cardiac infiltration a dilated nonischemic cardiomyopathy (may also cause a restrictive cm). Other possibilities include viral or other chronic inflammatory conditions which affect the lungs and heart simultaneously. ...Read more
Depends: The appearance/radiological description of a lung infiltrate can be helpful, but still non specific, unless it is part of the overall evaluation of the patient. In other words, the most accurate diagnoses depends on accurate history taking, physical examination, chest x ray description/appearance, and some bloodwork. Some common bugs may have atypical appearances on x ray, and viceversa... ...Read more
Difficulty breathing: In non cardiogenic pulmonary edema the lungs are filled with fluid and become stiff. This means the work of breathing is increased. In addition the alveoli or tiny air sacs are filled with fluid such that gas exchange can not occur, in particular in becomes hard to get oxygen into the blood. All of this combines to produce impaired lung function and even respiratory failure. ...Read more
Mobiliy / location: Pleural effusion is fluid that accumulates in pleural lining around lungs and is usually mobile.Pulmonary edema is fluid that accumulates in interstitial or alveolar spaces of the lungs proper.Pleural fluid will change configuration or move in the pleural space from. by changing patient position. Edema in lung proper not very mobile.Pleural fluid is easily seen by ultrasound of chest as peripheral ...Read moreSee 1 more doctor answer
Can 5 weeks of pulmonary hypertension (as well as a few other diagnoses) lead to moderate anoxic brain injury? A patient in his early 50's receives diagnosis of mssa- causing pulmonary hypertension, chf, aortic valve regurgitation, a stretched mitral valv
Endocarditis: Anoxic brain injury can occur after cardiac arrest. The heart disease you mention could lead to cardiac arrest but you did not mention this in your history. I am concerned about endocarditis, infection of the heart valve, with history of mssa bacteremia. ...Read moreSee 2 more doctor answers
From brain injury: This is a kind of noncardiac pulmonary edema. Its seen with a variety of acute brain injuries like head injury and large strokes especially hemorrhages. The edema is related to leaky capillaries. The exact mechanism is unknown but one theory is the brain injury causes a sudden release of stress hormones ( like adrenaline) that injures the capillaries and allows them to leak fluid into the lung. ...Read more
Does a right atrium dilated, RV pressure of 25-30 mHg, IVC dynamics 5-10 mmHg subjective possibly of pulmonary hypertension or heart failure?
If accurate, only: mildly ?ed. RA ~10 mmHg, RV systolic ~25 mmg Hg generally ~optimally healthy; similar to the values stated. Thus RA enlargement likely: mismeasurement (common, not rare; study image data yourself), marked tricuspid regurgitation, congenital variant, atrial muscle problem [eg advanced arterial disease in RA arteries; (lumens too small to see by angiography) producing RA ischemia/fibrosis], etc. ...Read more
What. Is antihypertensive of choice in interstitial lung disease with mild pulmonary hypertension?
Several choices: In the absence of other heart problems i would tend to try amlodipine in someone with high blood pressure and mild pulmonary hypertension. However many other medications such as acei or arb, beta blockers, Diltiazem or diuretics could also be appropriate. Please discuss with your doctor. ...Read moreSee 1 more doctor answer
Goodmorning. Which are the differences between pleural effusion end pulmonary edema on lung auscultation?
How does DVT with pulmonary embolisms in my lungs effect my diagnosis of pulmonary hypertensiion?
Variant of PAH: Multiple pe associated with recurrant DVT can cause chronic thromboembolic pulmonary hypertension (cteph), a variant of pulmonary hypertension (pah). These patients often have a hypercoagulopathy. Cteph occurs more frequently than previously thought, and unlike other types of pulmonary hypertension, cteph has the potential to be cured. A v/q scan can help diagnose. ...Read moreSee 1 more doctor answer
I had breathlessness, palpitation.In icu, pulmonary edema found, fixed by lasix (furosemide). Lvef 38-45%, hr 75-90, HDL 61, LDL 155, BP 130/80. Do i need CT angiography or catheter angiography, cardiac eps?
More info: At this moment not enough info. Pulm edema is a serious problem. Most commonly from heart failure. But, can happen from a severe chronic lung disease, exacerbated. From volume overload in renal failure, liver failure/cirrhosis, severe acute lung injury from trauma, pneumonia, cancer, etc. Are you out of the hospital? ...Read moreSee 1 more doctor answer
Fluid in the tissues, either caused by something local to the swollen area like an injury or inflammation, or from the body's retention of water. Gravity brings the fluid to the feet & legs in that case. As a general rule, if one foot is swollen, something is wrong with the foot. If both feet are swollen, it's not the feet, but water ...Read more
The lungs are the organ that exchange oxygen and shouldn't have fluids. In pulmonary edema they fill up with fluids most commonly, from heart failure. This causes shortness of breath. Other causes are kidney and liver failure. Low protein in blood or allergic reactions. Treatment usually require diuretics or water pills ...Read more
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