Unilateral pulmonary edema. The importance of physical examination and bedside ultrasound.

Authors

  • Leonor Hernández Servicio de Medicina Interna, Hospital Vega Baja, Orihuela (Alicante), Spain
  • Sonia Marín Servicio de Medicina Interna, Hospital General Universitario de Elda, Elda (Alicante), Spain
  • Irene Zamora Servicio de Medicina Interna, Hospital Vega Baja, Orihuela (Alicante), Spain
  • Alicia Pérez-Bernabéu Servicio de Medicina Interna, Hospital Vega Baja, Orihuela (Alicante), Spain
  • José María Cepeda-Rodrigo Servicio de Medicina Interna, Hospital Vega Baja, Orihuela (Alicante), Spain

DOI:

https://doi.org/10.32818/reccmi.a4n1a13

Keywords:

heart failure, ultrasound, dilated cardiomyopathy.

Abstract

According to data from the RECALMIN 2017 report, heart failure is the most frequent discharge diagnosis in Internal Medicine Units. Its natural history is characterized by episodes of decompensation, which increase morbidity and mortality, with the signs and symptoms of congestion being the main reasons why they go to the emergency room. We present a case of a patient without known structural heart disease. The objective is to demonstrate the importance of the initial physical examination and point of care ultrasound that allows a good approach to the patient and initiation of adequate treatment.

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References

Registro RECALMIN. Recursos y calidad en Medicina Interna [Internet]. Accesible: https://www.fesemi.org/sites/default/files/documentos/proyectos/recalmin/recalmin-informe-final.pdf

Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J. 2016 Jul 14; 37(27): 2129-2200. doi: https://doi.org/10.1093/eurheartj/ehw128.

Attias D, Mansencal N, Auvert B, Vieillard-Baron A, Delos A, Lacombe P, et al. Prevalence, characteristics, and outcomes of patients presenting with cardiogenic unilateral pulmonary edema. Circulation. 2010 Sep 14; 122(11): 1109-1115. doi: https://doi.org/10.1161/CIRCULATIONAHA.109.934950.

Davie AP, Francis CM, Caruana L, Sutherland GR, McMurray JJV. Assessing diagnosis in heart failure: which features are any use? QJMed. 1997; 90: 335-339.

Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest. 2008 Jul; 134(1): 117-125. doi: https://doi.org/10.1378/chest.07-2800.

Published

2019-04-30

How to Cite

1.
Hernández L, Marín S, Zamora I, Pérez-Bernabéu A, Cepeda-Rodrigo JM. Unilateral pulmonary edema. The importance of physical examination and bedside ultrasound. Rev Esp Casos Clin Med Intern [Internet]. 2019 Apr. 30 [cited 2024 Jul. 3];4(1):36-8. Available from: https://www.reccmi.com/RECCMI/article/view/390