Acute pulmonary edema in the puerperium is a rare but serious complication, associated mainly with severe preeclampsia and, in some cases, mitral insufficiency. We present the case of a 34-year-old female patient, with no past medical history, who developed acute pulmonary edema in the immediate puerperium after a complicated vaginal delivery with severe preeclampsia and moderate to severe mitral insufficiency. Initially, the patient was treated with embolization due to vulvar hematoma, and subsequently admitted to intensive care for respiratory failure, hypertensive crisis and confirmed pulmonary edema. After ruling out pulmonary thromboembolism and diagnosing bilateral pleural effusion, treatment with intravenous Labetalol, furosemide and oxygen was initiated, resulting in clinical improvement. An echocardiogram revealed significant mitral insufficiency, while proteinuria confirmed the...

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Se hace necesario sugerir a los diferentes programas de medicina de las facultades de ciencias de la salud a nivel local y global que realicen cambios dirigidos a una implementación encaminada a generar reformas en los diferentes planes de aprendizaje o currículos, de forma paulatina, sobre el uso de la ecografía como herramienta aliada en la formación médica.

73-year-old man consulted for chest pain, global headache, nausea, emesis plus diaphoresis and elevated blood pressure for four hours. The patient presented alternating hypertension and hypotension cycles of approximately 11 min, in which he reached systolic blood pressures greater than 300 mm Hg and varied up to systolic blood pressures of 40 mm Hg, without variations in heart rate. In the Emergency Department, an ultrasound scan showed a homogeneous, isoechogenic lesion with defined borders in the left adrenal gland, measuring approximately 4.8 cm x 4.5 cm, a finding that was confirmedby tomographic study, and which turned out to be a pheochrocytoma. The ultrasound approach (POCUS) in the adrenal glands in the patient with hyperensive crisis usually reveals findings of high diagnostic value, decision making or direction of therapeutic conduct.