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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... edema must be present ... be detected on CT ... or CXR ● PaO2/ ... Diagnosis #Management #CriticalCare
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: Age>60, CKD, CHF ... heart failure, positive ... fluid balance, and CXR ... with pulmonary ... edema) • Fever
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
edema: cardiac, ... permeability (ARDS ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... , interstitial edema ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
venous pressure, positive ... : weight gain, lung ... HFrEF may lack lung ... → no signs of CXR ... Inhibitors and ARBs
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
Obstructive lung ... After treatment ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
and Peripheral Edema ... with presence of pulmonary ... edema (“B-lines ... #heartfailure #chf ... #criticalcare #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
yeast • At risk: AIDS ... Inhalation of spores ... change in the lungs ... nails, bronchi, lungs ... infection have positive