Immersion pulmonary edema - Revision history

Rossdonaldson1: /* Evaluation */

2022-05-29T12:58:35Z

Evaluation

← Older revision		Revision as of 12:58, 29 May 2022
Line 22:		Line 22:
	[[File:MPX2168 synpic60403.png\|thumb\|Increased bronchial wall visibility (thickening), central peri-hilar haziness, slight alveolar filling, and Kerley B lines (red arrows) consistent with mild pulmonary edema. In this patient, swimming-induced pulmonary edema (SIPE). Also labeled: carina (white arrow) liver and spleen opacity in upper abdomen.]]		[[File:MPX2168 synpic60403.png\|thumb\|Increased bronchial wall visibility (thickening), central peri-hilar haziness, slight alveolar filling, and Kerley B lines (red arrows) consistent with mild pulmonary edema. In this patient, swimming-induced pulmonary edema (SIPE). Also labeled: carina (white arrow) liver and spleen opacity in upper abdomen.]]
	[[File:MPX2168 synpic50003.png\|thumb\|Central haziness with slight alveolar filling and Kerley B lines consistent with swimming-induced pulmonary edema (SIPE)]]		[[File:MPX2168 synpic50003.png\|thumb\|Central haziness with slight alveolar filling and Kerley B lines consistent with swimming-induced pulmonary edema (SIPE)]]
			[[File:MPX2168 synpic50023.png\|thumb\|SIPE patient with greater patchy airspace opacities along and increased interstial markings.]]
	*Clinical diagnosis, based on history and physical examination		*Clinical diagnosis, based on history and physical examination
	*[[CXR]]		*[[CXR]]

Rossdonaldson1: /* Evaluation */

2022-05-29T12:57:03Z

Evaluation

← Older revision		Revision as of 12:57, 29 May 2022
Line 21:		Line 21:
	==Evaluation==		==Evaluation==
	[[File:MPX2168 synpic60403.png\|thumb\|Increased bronchial wall visibility (thickening), central peri-hilar haziness, slight alveolar filling, and Kerley B lines (red arrows) consistent with mild pulmonary edema. In this patient, swimming-induced pulmonary edema (SIPE). Also labeled: carina (white arrow) liver and spleen opacity in upper abdomen.]]		[[File:MPX2168 synpic60403.png\|thumb\|Increased bronchial wall visibility (thickening), central peri-hilar haziness, slight alveolar filling, and Kerley B lines (red arrows) consistent with mild pulmonary edema. In this patient, swimming-induced pulmonary edema (SIPE). Also labeled: carina (white arrow) liver and spleen opacity in upper abdomen.]]
			[[File:MPX2168 synpic50003.png\|thumb\|Central haziness with slight alveolar filling and Kerley B lines consistent with swimming-induced pulmonary edema (SIPE)]]
	*Clinical diagnosis, based on history and physical examination		*Clinical diagnosis, based on history and physical examination
	*[[CXR]]		*[[CXR]]

Rossdonaldson1: /* Evaluation */

2022-05-29T12:55:42Z

Evaluation

← Older revision		Revision as of 12:55, 29 May 2022
Line 20:		Line 20:

	==Evaluation==		==Evaluation==
			[[File:MPX2168 synpic60403.png\|thumb\|Increased bronchial wall visibility (thickening), central peri-hilar haziness, slight alveolar filling, and Kerley B lines (red arrows) consistent with mild pulmonary edema. In this patient, swimming-induced pulmonary edema (SIPE). Also labeled: carina (white arrow) liver and spleen opacity in upper abdomen.]]
	*Clinical diagnosis, based on history and physical examination		*Clinical diagnosis, based on history and physical examination
	*[[CXR]]		*[[CXR]]

ClaireLewis at 19:22, 28 September 2019

2019-09-28T19:22:57Z

← Older revision		Revision as of 19:22, 28 September 2019
Line 11:		Line 11:

	==Clinical Features<ref name="Ludwig">Ludwig BB, Mahon RT, Schwartzman EL. Cardiopulmonary function after recovery from swimming-induced pulmonary edema. Clin J Sport Med. 2006 Jul;16(4):348-51.</ref>==		==Clinical Features<ref name="Ludwig">Ludwig BB, Mahon RT, Schwartzman EL. Cardiopulmonary function after recovery from swimming-induced pulmonary edema. Clin J Sport Med. 2006 Jul;16(4):348-51.</ref>==
	*Cough, dyspnea and/or hemoptysis immediately after water immersion		*[[Cough]], [[dyspnea]] and/or [[hemoptysis]] immediately after water immersion
	*No history of water aspiration or laryngospasm		*No history of water aspiration or laryngospasm
	*Hypoxia (SpO2 <92% or A-a gradient >30)		*[[Hypoxia]] (SpO2 <92% or A-a gradient >30)
	*[[CXR]] opacities consistent with interstitial pulmonary edema or alveolar filling process		*[[CXR]] opacities consistent with interstitial pulmonary edema or alveolar filling process

Line 20:		Line 20:

	==Evaluation==		==Evaluation==
	~~===Work-up===~~		*Clinical diagnosis, based on history and physical examination
	*[[CXR]]		*[[CXR]]
			**opacities consistent with interstitial pulmonary edema or alveolar filling process
	*CBC, BMP		*CBC, BMP
	*May consider ABG		*May consider [[ABG]]

	~~===Evaluation===~~
	*Clinical diagnosis, based on history and physical examination

	==Management==		==Management==
Line 34:		Line 32:
	**[[Albuterol]] may be used for symptomatic relief		**[[Albuterol]] may be used for symptomatic relief
	*Typically resolves completely within 24-48 hours		*Typically resolves completely within 24-48 hours
	*Sildenafil may prevent progression of pulmonary edema<ref>Moon RE et al. Swimming-Induced Pulmonary Edema: Pathophysiology and Risk Reduction With Sildenafil. Circulation. 2016; CIRCULATIONAHA.115.019464.</ref>		*[[Sildenafil]] may prevent progression of pulmonary edema<ref>Moon RE et al. Swimming-Induced Pulmonary Edema: Pathophysiology and Risk Reduction With Sildenafil. Circulation. 2016; CIRCULATIONAHA.115.019464.</ref>
	**Dosing uncertain, consider that the half-life is 4 hours		**Dosing uncertain, consider that the half-life is 4 hours

Kxl328: /* Management */

2017-05-03T12:13:19Z

Management

← Older revision		Revision as of 12:13, 3 May 2017
Line 34:		Line 34:
	**[[Albuterol]] may be used for symptomatic relief		**[[Albuterol]] may be used for symptomatic relief
	*Typically resolves completely within 24-48 hours		*Typically resolves completely within 24-48 hours
			*Sildenafil may prevent progression of pulmonary edema<ref>Moon RE et al. Swimming-Induced Pulmonary Edema: Pathophysiology and Risk Reduction With Sildenafil. Circulation. 2016; CIRCULATIONAHA.115.019464.</ref>
			**Dosing uncertain, consider that the half-life is 4 hours

	==Disposition==		==Disposition==

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T12:34:00Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 12:34, 9 September 2016
Line 14:		Line 14:
	*No history of water aspiration or laryngospasm		*No history of water aspiration or laryngospasm
	*Hypoxia (SpO2 <92% or A-a gradient >30)		*Hypoxia (SpO2 <92% or A-a gradient >30)
	*CXR opacities consistent with interstitial pulmonary edema or alveolar filling process		*[[CXR]] opacities consistent with interstitial pulmonary edema or alveolar filling process

	==Differential Diagnosis==		==Differential Diagnosis==
Line 21:		Line 21:
	==Evaluation==		==Evaluation==
	===Work-up===		===Work-up===
	*CXR		*[[CXR]]
	*CBC, BMP		*CBC, BMP
	*May consider ABG		*May consider ABG

Rossdonaldson1: Text replacement - "approx " to "approximately "

2016-08-01T11:39:27Z

Text replacement - "approx " to "approximately "

← Older revision		Revision as of 11:39, 1 August 2016
Line 2:		Line 2:
	*Also known as Swimming-Induced Pulmonary Edema (SIPE)<ref>https://clinicaltrials.gov/ct2/show/NCT00815646 (Accessed 08/17/15)</ref>		*Also known as Swimming-Induced Pulmonary Edema (SIPE)<ref>https://clinicaltrials.gov/ct2/show/NCT00815646 (Accessed 08/17/15)</ref>
	*Populations affected: Combat swimmers (e.g. Navy SEALs), triathletes, and submersion divers (aka "breath-hold diving")<ref name="Miller">Miller CC 3rd, Calder-Becker K, Modave F. Swimming-induced pulmonary edema in triathletes. Am J Emerg Med. 2010 Oct;28(8):941-6.</ref>		*Populations affected: Combat swimmers (e.g. Navy SEALs), triathletes, and submersion divers (aka "breath-hold diving")<ref name="Miller">Miller CC 3rd, Calder-Becker K, Modave F. Swimming-induced pulmonary edema in triathletes. Am J Emerg Med. 2010 Oct;28(8):941-6.</ref>
	**Prevalence ~~approx~~ 1.8% in combat swimmers		**Prevalence approximately 1.8% in combat swimmers
	**Very rare outside these groups		**Very rare outside these groups
	**Similar to exertion-related pulmonary edema (best described in racehorses)		**Similar to exertion-related pulmonary edema (best described in racehorses)

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T08:51:36Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 08:51, 24 July 2016
Line 19:		Line 19:
	{{Water related injuries DDX}}		{{Water related injuries DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-up===		===Work-up===
	*CXR		*CXR

Ostermayer: Text replacement - "Category:Environ" to "Category:Environmental"

2016-03-22T14:47:29Z

Text replacement - "Category:Environ" to "Category:Environmental"

← Older revision		Revision as of 14:47, 22 March 2016
Line 46:		Line 46:
	<References/>		<References/>

	[[Category:~~Environ~~]]		[[Category:Environmental]]

Mholtz at 08:41, 17 August 2015

2015-08-17T08:41:41Z

← Older revision		Revision as of 08:41, 17 August 2015
Line 11:		Line 11:

	==Clinical Features<ref name="Ludwig">Ludwig BB, Mahon RT, Schwartzman EL. Cardiopulmonary function after recovery from swimming-induced pulmonary edema. Clin J Sport Med. 2006 Jul;16(4):348-51.</ref>==		==Clinical Features<ref name="Ludwig">Ludwig BB, Mahon RT, Schwartzman EL. Cardiopulmonary function after recovery from swimming-induced pulmonary edema. Clin J Sport Med. 2006 Jul;16(4):348-51.</ref>==
	*~~Dyspnea~~ and/or hemoptysis immediately after water immersion		*Cough, dyspnea and/or hemoptysis immediately after water immersion
	*No history of water aspiration or laryngospasm		*No history of water aspiration or laryngospasm
	*Hypoxia (SpO2 <92% or A-a gradient >30)		*Hypoxia (SpO2 <92% or A-a gradient >30)
Line 20:		Line 20:

	==Diagnosis==		==Diagnosis==
			===Work-up===
			*CXR
			*CBC, BMP
			*May consider ABG

			===Evaluation===
	*Clinical diagnosis, based on history and physical examination		*Clinical diagnosis, based on history and physical examination

Immersion pulmonary edema - Revision history

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

ClaireLewis at 19:22, 28 September 2019

Kxl328: /* Management */

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Rossdonaldson1: Text replacement - "approx " to "approximately "

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

Ostermayer: Text replacement - "Category:Environ" to "Category:Environmental"

Mholtz at 08:41, 17 August 2015

Rossdonaldson1: Text replacement - "CXR" to "CXR"