Acute pulmonary edema

LB Ware, MA Matthay - New England Journal of Medicine, 2005 - Mass Medical Soc
LB Ware, MA Matthay
New England Journal of Medicine, 2005Mass Medical Soc
A 62-year-old man presents with a three-day history of progressive dyspnea, nonproductive
cough, and low-grade fever. His blood pressure is 100/60 mm Hg, his heart rate 110 beats
per minute, his temperature 37.9° C, and his oxygen saturation while breathing room air 86
percent. Chest auscultation reveals rales and rhonchi bilaterally. A chest radiograph shows
bilateral pulmonary infiltrates consistent with pulmonary edema and borderline enlargement
of the cardiac silhouette. How should this patient be evaluated to establish the cause of the …
A 62-year-old man presents with a three-day history of progressive dyspnea, nonproductive cough, and low-grade fever. His blood pressure is 100/60 mm Hg, his heart rate 110 beats per minute, his temperature 37.9°C, and his oxygen saturation while breathing room air 86 percent. Chest auscultation reveals rales and rhonchi bilaterally. A chest radiograph shows bilateral pulmonary infiltrates consistent with pulmonary edema and borderline enlargement of the cardiac silhouette. How should this patient be evaluated to establish the cause of the acute pulmonary edema and to determine appropriate therapy?
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