Pulmonary oedema in hypertensive crisis - from failed femoral cannulation to diagnosis


Pulmonary oedema


Pulmonary oedema is a very common clinical presentation in the hospital setting with the management steps memorised by most medical student from an early stage. This management works on the basis that the patient is fluid overloaded from left ventricular systolic dysfunction (LVSD). In reality however, this is not always the case with diastolic dysfunction also causing pulmonary oedema. In the case of diastolic dysfunction there is little data to guide management.1 We present a case of a patient who developed flash pulmonary oedema (FPO) secondary to a hypertensive crisis.



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