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Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
ischemic changes CXR ... ventricular function Pulmonary-Artery ... embolism • Re-expansion ... acute lung injury ... #diagnosis #cardiology
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
edema at admission ... which resolved after ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
(alveolar edema ... The following signs ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
brain injury, cerebral ... interstitium and alveoli ... nervous system injury ... Embolism: • Acute ... pulmonary edema
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Kerley B lines, alveolar ... of CXR congestion ... epicardial coronary artery ... diagnosis #management #cardiology
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
evidence of organ injury ... ), pulmonary edema ... finding of organ injury ... diagnosis so have high clinical ... htn #obstetrics #cardiology
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
negative ECG, CXR ... Admitted this time after ... Ventricular #Mass #Cancer ... Echocardiogram #clinical ... #cardiology #PLAX
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Key Point: High clinical ... /amniotic embolism ... Spontaneous coronary artery ... congestion on a CXR ... Cardiomyopathy #Cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... a chest x-ray (CXR ... not seen on a CXR