Pulmonary edema history and symptoms: Difference between revisions

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Latest revision as of 20:25, 3 April 2018

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farnaz Khalighinejad, MD [2]

Overview

The history of a patient with pulmonary edema varies according to the underlying cause. The most common symptom of pulmonary edema is shortness of breath (dyspnea). Depending on etiology, it may occur acute or has gradual onset. When pulmonary edema is due to an acute myocardial infarction chest pain is presenting symptom.

History and Symptoms

History

Patients with pulmonary edema may have a positive history of:^[1]

Past medical history:

Surgical history:

Recent surgery
Valve replacement surgeries

Drug history:

Symptoms

Common Symptoms

Less Common Symptoms

Fever
Headaches
Blue or cyanotic lips

Symptoms could be varied depending on underlying disorder including:

Acute Pulmonary Edema

Anxiety, restlessness
Dyspnea
Cough, particularly coughing up blood or bloody froth
Excessive sweating or diaphoresis
Paroxysmal nocturnal dyspnea
Grunting or gurgling sounds with breathing
Pale or blue skin
Blue or cyanotic lips
Shortness of breath
Orthopnea
Wheezing

Chronic Pulmonary Edema

If pulmonary edema develops gradually, there may be symptoms of fluid overload^[1]

References

↑ ^1.0 ^1.1 Ware LB, Matthay MA (2005). "Clinical practice. Acute pulmonary edema". N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.

Template:WikiDoc Sources

[pmid163820653-1] 1.0 ^1.1 Ware LB, Matthay MA (2005). "Clinical practice. Acute pulmonary edema". N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.

[1]

@@ Line 1: / Line 1: @@
 __NOTOC__
 {{Pulmonary edema}}
-{{CMG}}
+{{CMG}} {{AE}} {{FKH}}
+==Overview==
+The history of a patient with pulmonary edema varies according to the underlying cause. The most common symptom of pulmonary edema is [[Shortness of breath|shortness]] of breath ([[dyspnea]]). Depending on etiology, it may occur acute or has gradual onset. When pulmonary edema is due to an acute myocardial infarction chest pain is presenting symptom.
 ==History and Symptoms==
-===Acute Pulmonary Edema===
-*[[Anxiety]]
+===History===
+Patients with pulmonary edema may have a positive history of:<ref name="pmid163820653" />
+Past medical history:
+* [[Heart failure]]
+* [[COPD]]
+Surgical history:
+* Recent [[surgery]]
+* [[Valve]] replacement surgeries
+Drug history:
+* [[Anticoagulant|Anticoagulants]]
+* [[Aspirin]]
+* [[Non-steroidal anti-inflammatory drug|NSAIDS]]
+* [[Narcotics]]
+* [[Heroin]]
+* [[Morphine]]
+* [[Methadone]]
+* [[Dextropropoxyphene]]
+=== Symptoms ===
+====Common Symptoms ====
+* [[Dyspnea]]
+* [[Orthopnea]]
+* [[Cough]]
+* [[Chest discomfort]]
+==== Less Common Symptoms ====
+* [[Fever]]
+* [[Headache|Headaches]]
+* Blue or [[cyanotic]] lips
+Symptoms could be varied depending on underlying disorder including:
+====Acute Pulmonary Edema====
+*[[Anxiety]], [[restlessness]]
+*[[Dyspnea]]
 *[[Cough]], particularly [[coughing up blood]] or bloody froth
-*Difficulty [[breathing]]
 *Excessive [[sweating]] or [[diaphoresis]]
-*Feeling of "air hunger" or "[[drowning]]" (if this occurs suddenly, awakening the patient from [[sleep]] and causing the patient to sit up and catch their [[breath]], it's called "[[paroxysmal nocturnal dyspnea]]")
+*[[Paroxysmal nocturnal dyspnea]]
 *Grunting or gurgling sounds with [[breathing]]
 *Pale or blue skin
 *Blue or [[cyanotic]] lips
-*[[Restlessness]]
 *[[Shortness of breath]]
-*[[Shortness of breath]] when lying down ([[orthopnea]])
+*[[Orthopnea]]
 *[[Wheezing]]
-===Chronic Pulmonary Edema===
+====Chronic Pulmonary Edema ====
-If [[pulmonary edema]] develops gradually, there may be symptoms of fluid overload:
+If [[pulmonary edema]] develops gradually, there may be symptoms of fluid overload<ref name="pmid163820653">{{cite journal |vauthors=Ware LB, Matthay MA |title=Clinical practice. Acute pulmonary edema |journal=N. Engl. J. Med. |volume=353 |issue=26 |pages=2788–96 |year=2005 |pmid=16382065 |doi=10.1056/NEJMcp052699 |url=}}</ref>
-*Ankle or [[pedal edema]] (swelling of the legs, generally of the "pitting" variety, where the skin is slow to return to normal when pressed upon)
+*Ankle or [[pedal edema]]
-*[[Nocturia]] (frequent urination at night)
+*[[Nocturia]]
-*[[Orthopnea]] (inability to lie down flat due to breathlessness)
+*[[Orthopnea]]
-*[[Paroxysmal nocturnal dyspnea]] (episodes of severe sudden breathlessness at night)
+*[[Paroxysmal nocturnal dyspnea]]
+*[[Weight gain|Weight]] gain
 ==References==
 {{reflist|2}}
-{{WH}}
-{{WS}}
 [[Category:Pulmonology]]
 [[Category:Emergency medicine]]
-[[Category:Mountaineering]]
 [[Category:Cardiology]]
-[[Category:Disease]]
-[[Category:Needs overview]]
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