| Cardiac | |
|---|---|
 |
|
 |
GI |
 |
Bone |
 |
GU |
 |
Neuro |
 |
Faculty |
 |
Student |
 |
Quizzes |
 |
Image DDX |
 |
Misc |
 |
"A Case of Recurrent Abdominal Pain" |
 |
Case of the Week 267 
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)
|
LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.
