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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... edema must be present ... be detected on CT ... Summary #CheatSheet #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Stable Angina • Acute ... Pneumonia • ARDS ... Interstitium ... • ILDCHF
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... - Differential Diagnosis ... Lymphangitic Carcinoma, Interstitial ... #CT #Patterns # ... #pulmonary #radiology
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
CT • Patent airways ... DDx: pna, pulm edema ... , severe ILD, pulm ... #Lung #Pulmonary ... #diagnosis #radiology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
edema must be present ... computed tomographic (CT ... lobar collapse, lung ... : - Mild - ... Definition #Criteria #Diagnosis
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
CT • Thickened ... DDx: PAP, pulm edema ... pna, pulm hge, ARDS ... #Lung #Pulmonary ... #diagnosis #radiology
Tram Track Sign on Chest CT
 • Parallel, non-tapering airways, extending to the lung periphery.
 •
CT • Parallel, ... bronchiectasis, CF ... , ILD, necrotizing ... #Lung #Pulmonary ... #diagnosis #radiology
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... dependent part of the lungs ... the differential diagnostic ... #Clinical #Radiology ... #CTChest #CHF #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... Chest x-ray: signs ... (Sens. 81% for acute ... #management #cardiology
Based on the images alone, it is usually not possible to determine the cause of the
edema - filling ... this is nodular interstitial ... lung disease, that ... #Clinical #Diagnosis ... #Radiology #CXR