Pulmonary Oedema
Pulmonary oedema is the accumulation of excess fluid in the extravascular spaces of the lung (interstitium and alveoli), impairing gas exchange.
What our notes say
- Pulmonary oedema is the accumulation of excess fluid in the extravascular spaces of the lung (interstitium and alveoli), impairing gas exchange. (Pulmonary oedema and ARDS)
- Basal pulmonary crackles: Caused by elevated left ventricular end-diastolic pressure transmitting backward into pulmonary capillaries, leading to transudation of fluid into the alveoli (pulmonary oedema). (Acute coronary syndrome and myocardial infarction)
- Therapeutic aspiration for symptom relief (ultrasound-guided, stop at about 1.5 L or when the patient coughs or has chest tightness, to avoid re-expansion pulmonary oedema). (Pleural Effusion)
- Empyema, pleural thickening and fibrosis (trapped lung), respiratory failure, re-expansion pulmonary oedema, pneumothorax and bleeding from aspiration. (Pleural Effusion)
- Tension pneumothorax and cardiac arrest, persistent air leak (bronchopleural fistula), re-expansion pulmonary oedema, infection (empyema), recurrence (about 30% after a first primary episode), haemopneumothorax, surgical emphysema. (Pneumothorax)
- Cerebral malaria with convulsions and coma, pulmonary oedema and acute respiratory distress, acute kidney injury, jaundice, and maternal death. (Junior Clerkship in Reproductive Health (MBOG 4200): end of year examination, 4 )
Study material on Pulmonary Oedema
- Pulmonary oedema and ARDS
- Malaria, including severe malaria
- Indications for dialysis
- Respiratory failure and arterial blood gas interpretation
- Fluid balance
- Cardiovascular system examination revised 2012
- Examination of Respiratory system
- Blood Transfusion Contraindications & Acute Reactions
- Arrhythmias and ECG interpretation
- Approach to fever
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