Pulmonary edema physical examination

Jump to navigation Jump to search

Pulmonary edema Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pulmonary Edema from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic study of choice

History and Symptoms

Physical Examination

Laboratory Findings

X Ray

Electrocardiography

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Interventional Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pulmonary edema physical examination On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pulmonary edema physical examination

CDC on Pulmonary edema physical examination

Pulmonary edema physical examination in the news

Blogs on Pulmonary edema physical examination

Directions to Hospitals Treating Pulmonary edema

Risk calculators and risk factors for Pulmonary edema physical examination

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


Overview

Patients with pulmonary edema usually appear agitated. Physical examination of patients with pulmonary edema is usually remarkable for dyspnea, tachypnea. The presence of abnormal cardiac examination on physical examination is diagnostic of cardiogenic pulmonary edema. Patients with noncardiogenic pulmonary edema may have warm extremities, whereas patients with cardiogenic pulmonary edema may have cool extremities.

Physical Examination

Physical examination of patients with pulmonary edema is usually remarkable for:[1][2]

Differentiation of cardiogenic pulmonary edema and noncardiogenic pulmonary edema
Clinical examination
Cardiogenic pulmonary edema Low flow state=cool periphery S3 gallop/cardiomegaly Jugular venous distention Crackles(wet)
Noncardiogenic pulmonary edema High flow state=warm periphery No gallop No jugular venous distention Crackles(dry)

Appearance of the Patient

Vital Signs

Skin

HEENT

  • Nasal flaring
  • Dilated alae nasi

Neck

  • Neck examination of patients with pulmonary edema is usually normal

Lungs

Heart

Abdomen

  • Abdomen examination of patients with pulmonary edema is usually normal

Back

  • Back examination of patients with pulmonary edema is usually normal

Genitourinary

  • Genitourinary examination of patients with pulmonary edema is usually normal

Neuromuscular

  • Neurologic examination may reveal focal signs as neurogenic causes of pulmonary edema

Extremities

References

  1. Ware LB, Matthay MA (December 2005). "Clinical practice. Acute pulmonary edema". N. Engl. J. Med. 353 (26): 2788–96. doi:10.1056/NEJMcp052699. PMID 16382065.
  2. Sibbald WJ, Cunningham DR, Chin DN (October 1983). "Non-cardiac or cardiac pulmonary edema? A practical approach to clinical differentiation in critically ill patients". Chest. 84 (4): 452–61. PMID 6617283.


Template:WikiDoc Sources