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Upon physical examination -- sudden weight gain (overnight), edema (especially in DEPENDENT areas), neck veins full when upright/semi-upright, crackles in dependent portion of lungs, PULMONARY EDEMA a. Hyponatremia

b. ECV excess c. Metabolic acidosis d. Hyponatremia

User Ramfjord
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Final answer:

Sudden weight gain, edema in dependent areas, full neck veins when upright, and pulmonary crackles suggest pulmonary and systemic edema linked to fluid overload, possibly due to heart or kidney failure. Edema involves excess water in tissues, often resulting from water leakage from blood capillaries. Treating the underlying cause is essential for managing edema.

Step-by-step explanation:

The symptoms described in the question, such as sudden weight gain (overnight), edema (especially in dependent areas), full neck veins when upright/semi-upright, and crackles in the dependent portion of lungs indicate a condition of pulmonary edema and systemic edema, which are related to fluid accumulation in the body. This accumulation can be due to various causes including heart failure, renal failure, and hypertension. Pulmonary edema is particularly serious because it leads to difficulty in breathing and can impair gas exchange in the lungs. To address these symptoms, identifying and treating the underlying cause is crucial, which could include managing heart or kidney failure.

Edema represents an accumulation of excess water in the tissues, often manifesting as swelling in the extremities due to the leakage of water from blood capillaries. Systemic edema refers to increased fluid retention in the interstitial spaces and cells of the body, which can cause swelling over large areas, often observed in the lower extremities. In the case of pulmonary edema caused by heart failure, fluid is pushed out of the pulmonary capillaries and into lung tissues due to increased hydrostatic pressure generated by blood getting "backed up" in the pulmonary circulation when the left ventricle of the heart is unable to pump efficiently.

User Lironess
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