Chapter 21 Pulmonary Edema
CLINICAL PRESENTATION
Pulmonary edema results in reduced oxygenation, usually as a result of ventilation-perfusion mismatching; therefore most animals have symptoms of respiratory distress. Some of these patients are extremely fragile, so a risk-benefit assessment should be considered before even performing a physical examination. Oxygen should be given to all patients with respiratory distress, and the benefits of giving a patient time to recover in a quiet, oxygen-enriched environment cannot be overstressed (see Chapter 19, Oxygen Therapy). Initial diagnostic evaluation should be directed toward identifying the severity of the respiratory disease and the underlying cause. Historical information can be useful in some cases, such as smoke inhalation, choking, or a previous diagnosis of congestive heart failure. Neurogenic pulmonary edema may be suspected in animals that have dyspnea after head trauma, upper respiratory tract obstruction, or electric shock.