Wednesday, April 29, 2020

Diuresis in acute cardiogenic pulmonary edema

Q: A response to diuresis is one way to confirm the diagnosis of acute cardiogenic pulmonary edema?

A) True
B) False


Answer: A

Physical exam stays a primary way to diagnose acute cardiogenic pulmonary edema. It includes S3 or S4 gallop on cardiac auscultation, elevated jugular venous pressure, or leg edema. Diagnosis can be supplemented by CXR showing pulmonary venous congestion, Kerley B lines, cardiomegaly, and pleural effusions. Another way to confirm (and treat) acute cardiogenic pulmonary edema in non-renal failure patients is to give a trial of diuresis.


#cardiology
#pulmonary


Reference:


Purvey M, Allen G. Managing acute pulmonary oedema. Aust Prescr. 2017;40(2):59–63. doi:10.18773/austprescr.2017.012

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