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Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Framework NCPE ... ischemic changes CXR ... syndrome (ARDS) ... lung injury (TRALI ... #diagnosis #cardiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... - Respiratory symptoms ... be present on a chest ... lobar collapse, lung ... Definition #Criteria #Diagnosis
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - ... blood cells in the lung ... respiratory failure or ARDS ... • Signs/Symptoms ... • Signs/Symptoms
Rheumatoid arthritis (RA): Extra-articular manifestations
Skin: 
 • Inflammation of skin (esp. over areas of stress) forms
over areas of stress ... pleural effusion on CXR ... disease/pulmonary ... pathophysiology #signs ... #symptoms #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... Less Typical Symptoms ... : weight gain, lung ... Chest x-ray: signs ... CXR congestion.
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
organizing pneumonia, ARDS ... pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress ... gradually with symptoms
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
granulomas within the lungs ... e.g. incidental CXR ... Pulmonary: dyspnea ... , cough, chest pain ... #Management #Signs
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... ACEi/ARBs - Hold ... unless prior heart/lung ... stratification #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... x-ray (CXR), try ... not seen on a CXR ... #Radiology #CTChest ... #Lung #Pulmonary