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  • Pulmonary Edema

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    Mark Allison Buenaventura
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    A 60-year old female with a history of hypertension and congestive heart failure presented with orthopnea and paroxysmal nocturnal dyspnea. Pulmonary edema is defined as an abnormal increase in interstitial fluid in the lungs and can be caused by conditions that increase hydrostatic pressure or decrease oncotic pressure such as heart failure, nephrotic syndrome, or hypoproteinemia. In pulmonary edema, fluid leaks from blood vessels into the lung tissue due to left-sided heart failure and congestion, causing the lungs to appear heavy, red, and frothy when cut.

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    A 60-year old female with a history of hypertension and congestive heart failure presented with orthopnea and paroxysmal nocturnal dyspnea. Pulmonary edema is defined as an abnormal increase in interstitial fluid in the lungs and can be caused by conditions that increase hydrostatic pressure or decrease oncotic pressure such as heart failure, nephrotic syndrome, or hypoproteinemia. In pulmonary edema, fluid leaks from blood vessels into the lung tissue due to left-sided heart failure and congestion, causing the lungs to appear heavy, red, and frothy when cut.

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    2K views16 pages

    Pulmonary Edema

    Uploaded by

    Mark Allison Buenaventura
    A 60-year old female with a history of hypertension and congestive heart failure presented with orthopnea and paroxysmal nocturnal dyspnea. Pulmonary edema is defined as an abnormal increase in interstitial fluid in the lungs and can be caused by conditions that increase hydrostatic pressure or decrease oncotic pressure such as heart failure, nephrotic syndrome, or hypoproteinemia. In pulmonary edema, fluid leaks from blood vessels into the lung tissue due to left-sided heart failure and congestion, causing the lungs to appear heavy, red, and frothy when cut.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 16

    PULMONARY EDEMA slide #30

    BY: Martin Allen Buenaventura Click to edit Master subtitle style 2b - group2

    5/5/12

    CASE

    A 60 year old female, known hypertensive and diagnosed of CONGESTIVE HEART FAILURE complained of orthopnea, paroxysmal nocturnal dsypnea. Atrial fibrillation occurred and patient succumbed.

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    What is Edema?

    Is defined as an abnormal increase in interstitial fluid within a tissue

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    Etiology

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    Etiology

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    etiology

    Cardiogenic primary cause Increased hydrostatic pressure Decreased oncotic pressure:Nephrotic syndrome, hypoproteinemia Lymphatic obstruction

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    pathogenesis

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    Left sided heart failure (MI, cardiomyopathy,HPN, valvular dse decrease pumping ability to the systemic circulation congestion and accumulation of blood in the pulmonary area fluid leaks out of the intravascular space to the interstitium

    MORPHOLOGICAL CHANGES (GROSS)

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    MORPHOLOGICAL CHANGES (GROSS)

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    MORPHOLOGICAL CHANGES (GROSS)


    2-3 times heavier than the normal weight Lungs appear red due to congestion Sectioning of the lung reveals a frothy blood tinged mixture of air and edema fluid. Brown induration

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    MORPHOLOGICAL CHANGES (histologic)


    There is thickening of alveolar septal wall Congestion of alveolar capillaries Transudation-Alveolar lumen is filled withtransudate(paleeosinophilic, finely granular), a liquid which replaces the air.

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    MORPHOLOGICAL CHANGES (histologic)

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    Clinical Manifestations of Pulmonary Edema


    Tachypnea (+) crackles Cyanosis Dyspnea Orthopnea Coughing with blood-tinged sputum

    5/5/12

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