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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
sliding/barcode sign ... Consolidations - "Shred" sign ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS)
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... Look for other signs ... infection, ARDS ... #Diagnosis #Radiology ... #Pulmonary #CXR
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
sign which consists ... In this case, pulmonary ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... ischemic changes CXR ... syndrome (ARDS) ... Transfusion-related acute lung ... differential #diagnosis #cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Acute Respiratory Distress ... Syndrome ... • Chronic Lung Infection ... #HeartFailure #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... with old fims can ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
Tram Track Sign ... bronchiectasis, CF, ILD ... ABPA Kartagener's syndrome ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Lung infarction
In pulmonar embolism it is not common to see consolidation.
The consolidation is a result of
Lung infarction ... In this case a lung ... Here we see an old ... #Clinical #Radiology ... #CXR #CTChest #
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... Exclusion of other ILDs