1/19/2024 0 Comments Pulmonary edemaIf a diffuse pattern of B-lines is not seen in a patient with acute dyspnea, cardiogenic pulmonary edema may be immediately and confidently excluded as the cause of the patient's dyspnea. Ultrasonography is extremely sensitive for cardiogenic pulmonary edema.Small bilateral pleural effusions may further support the diagnosis of cardiogenic pulmonary edema. Cardiogenic pulmonary edema generates a pattern of diffuse B-lines throughout the chest, with a thin pleural interface (unlike non-cardiogenic pulmonary edema, which often causes a patchy distribution of B-lines and a thickened pleural interface including patches of subpleural consolidation).Aside from history and examination, POCUS is the most powerful tool for the diagnosis of SCAPE.Patients may have a history of recurrent episodes of SCAPE.Diaphoresis, pallor, appearing extremely unwell.Clinical features of sympathetic activation:.Rapid onset of respiratory distress (e.g., usually within 160 mm and/or MAP>120 mm). More on hypertensive emergency here.ĭefining clinical features of SCAPE ( 34215472) For example, SCAPE develops very rapidly so patients can be promptly lowered to their baseline blood pressure (unlike many patients with hypertensive emergency, who have more gradual elevation of blood pressure and consequently require a more gradual therapeutic reduction). However, SCAPE represents a unique entity which requires uniquely tailored therapy.
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