Pulmonary edema physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
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|+ Differentiation of cardiogenic pulmonary edema and noncardiogenic pulmonary edema | |||
! Laboratory findings !! ECG !! CXR !! Cardiac enzymes !!PCWP !! QS/QT !!Edema fluid/serum protein | |||
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! Cardiogenic pulmonary edema | |||
| Ischemia/Infarct || Peri-hilar distribution || May be elevated || >18 mmHg || Small elevated || <.5 | |||
|- | |||
! Noncardiogenic pulmonary edema | |||
| Usually normal || Peripheral distributions || Usually normal || <18 mmHg || Large elevated || <.7 | |||
|} | |||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Anxious | *Anxious | ||
Revision as of 17:11, 20 February 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief:
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Overview
Physical Examination
| Laboratory findings | ECG | CXR | Cardiac enzymes | PCWP | QS/QT | Edema fluid/serum protein |
|---|---|---|---|---|---|---|
| Cardiogenic pulmonary edema | Ischemia/Infarct | Peri-hilar distribution | May be elevated | >18 mmHg | Small elevated | <.5 |
| Noncardiogenic pulmonary edema | Usually normal | Peripheral distributions | Usually normal | <18 mmHg | Large elevated | <.7 |
Appearance of the Patient
- Anxious
- Decrease in level of alertness (consciousness)
- Inability to speak in full sentences
Vital Signs
Skin
HEENT
- Nasal flaring
Neck
Lungs
- End-inspiratory crackles (sounds heard at the end of a deep breath)
Heart
- A third heart sound (S3) may be present
Abdomen
Back
Genitourinary
Neuromuscular
Extremities
References