They were fine yesterday, now they’re drowning! “Flash” (acute) pulmonary edema is a common critical condition in the emergency department, and it can have multiple precipitating factors and etiologies. After evaluating for acute myocardial infarction, tachydysrhythmias, and valvular pathologies based on physical exam and ECG, the treatment for these Read more…
Let us set the scene: You have a patient complaining of shortness of breath. The patient gives a poor history, but your spidey sense tells you this is obstructive pulmonary disease vs. new-onset heart failure. His corpulent body habitus is limiting your ability to reliably hear heart or lung sounds. Read more…
This month we were lucky enough to have Dr. Bryan Jarrett present an interesting paper on exercise induced pulmonary edema occurring at high altitude monitored by ultrasound. If you would like to read that paper, it can be found here: Exercise Induced Pulmonary Edema Occurring at Altitude Dr. Jarrett was Read more…
Thanks to Dr. Nadir for today’s Morning Report (originally presented on 4/20/2012)! 76 year old male with hx of emphysema presents with slowly progressive SOB, over the last 10 days. VS: HR 110, RR 28, O2 sats 93%, BP 110/76. Exam reveals decreased BS over the left lung field. US and Read more…