Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0034063 (pulmonary edema)
 10,665 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The osmotic pressure of the serum proteins (colloid osmotic pressure [COP] or "oncotic" pressure) is only one of the four Starling forces (plus the capillary permeability coefficient) which affect the net filtration of fluid from the capillaries. The COP will vary with the concentration of total serum proteins, but more so with the specific pattern or composition of the protein components, especially albumin. The use of formulas utilizing total protein (or albumin/globulin) to calculate COP is not warranted. COP should be determined; this is easy at the present time with the advent of a compact commercial instrument. Generalized or localized edema (e.g., pulmonary edema or ascites) has been associated with low serum albumin and low COP values. This is not always so since cases of analbuminemia do not necessarily exhibit edema. The study of COP is warranted but precautions are necessary in proper interpretation of the causes of "edema,"--the Starling forces and hemodynamic factors, capillary permeability, lymphatic return, etc., are all involved in the phenomenon.
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PMID:Osmotic pressure of the serum proteins. 34 45

In judging the infusion therapy of burn injuries, not only the circulatory and pulmonary effects are considered but also the local effect on burned tissue. Local edema leads to hypoxia as well as to the burn-specific sludge phenomenon. Microcirculation and edema are often adversely influenced by our therapeutic efforts. Therapeutic proteinase inhibition, for example, has a beneficial effect on edema formation but reduces spontaneous fibrinolytic activity and thus increases the sludge phenomenon. Standardized experimental scalds of 30% of the body surface in rabbits increased density of the lungs, as determined by computed tomography. Colloidal infusion therapy was found to diminish fluid shift into the lung more than crystalloid infusion therapy. However, all tested infusion regimens, using identical quantity, increased edema formation in the burned skin. Biseco (natural serum proteins containing igG, igA and igM; Fa. Biotest, Frankfurt, F.R.G.) and Solcoseryl (a protein-free extract of calf blood stimulating the oxygen efficiency; Fa. Solco Basel) were demonstrated to diminish local edema formation as well as lung edema secondary to burn injuries.
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PMID:Interactions between local and generalised burn edema. 302 75

We report 3 patients on continuous ambulatory peritoneal dialysis (CAPD) who developed reversible ultrafiltration failure secondary to retroperitoneal leakage. The patients presented with pulmonary edema and fluid overload following a sudden onset of ultrafiltration failure on maintenance CAPD. There was no localized edema, suggesting peritoneal leakage in the abdominal wall or the perineum. Radiological examination showed no migration of the Tenckhoff catheter. Leakage of dialysate into the retroperitoneal space was only revealed by computed tomographic (CT) peritoneography. These patients were then treated with intermittent peritoneal dialysis twice weekly. After repeated CT peritoneography showing complete resolution of the leakage, they successfully resumed CAPD treatment 2 months later, without ultrafiltration problems. Our finding suggests that retroperitoneal leakage could be one of the uncommon, yet reversible, causes of acute ultrafiltration failure that can be diagnosed with CT peritoneography.
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PMID:Retroperitoneal leakage as a cause of ultrafiltration failure. 1549 Sep 80