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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical ... edema must be present ... be detected on CT ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
respiratory distress syndrome ... (ARDS) • Opioid ... Transfusion-related acute lung ... injury (TRALI) ... #diagnosis #cardiology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... edema) • Fever ... Reactions #hematology #diagnosis
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... The diagnosis based ... edema. ... #Clinical #Radiology ... SeptalThickening #CHF
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... edema must be present ... computed tomographic (CT ... lobar collapse, lung ... #CriticalCare
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
ARDS/VALI progression ... involvement, with “white lung ... the differential diagnosis ... of pulmonary oedema ... #Clinical #Radiology
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
TRALI Diagnostic ... evidence of bilateral pulmonary ... edema on imaging ... eg. chest chest CT ... #pulmonary #criticalcare
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
DDx: PAP, pulm edema ... pna, pulm hge, ARDS ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... • Diffuse Lung ... Respiratory Distress Syndrome ... #HeartFailure #Cardiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
bronchiectasis, CF ... ABPA Kartagener's syndrome ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical