What's the most likely diagnosis?
- 73 year-old with shortness of breath
- Silicosis
- Pulmonary edema
- Sarcoidosis
- Idiopathic pulmonary hemorrhage
- Tuberculosis
Answer:
2. Pulmonary edema
More (Click Discussion Tab)
Pulmonary edema
General Considerations
- Increase in the fluid in the lung
- Generally, divided into cardiogenic and non-cardiogenic categories.
- Congestive heart failure is the leading diagnosis in hospitalized patients older than 65
Pathophysiology
- Fluid first accumulates in and around the capillaries in the interlobular septa (typically at a wedge pressure of about 15 mm Hg)
- Further accumulation occurs in the interstitial tissues of the lungs
- Finally, with increasing fluid, the alveoli fill with edema fluid (typically wedge pressure is 25 mm Hg or more)
More ...