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Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
balance • Flat neck ... ischemic changes CXR ... vascular congestion ... Transfusion-related acute lung ... #diagnosis #cardiology
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Reverse Halo Sign ... Halo Sign 6. ... Vascular Enlargement ... #Pulmonary #ChestCT ... #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... non-cardiogenic edema ... Look for other signs ... #Diagnosis #Radiology ... #Pulmonary #CXR
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
involvement, with “white lung ... normal-sized heart and vascular ... the differential diagnosis ... of pulmonary oedema ... #CXR #ChestXRay
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
waves caused by pulmonary ... has Kussmaul's sign ... the underlying diagnosis ... #Neck #PhysicalExam ... Clinical #Video #Cardiology
Air Bronchogram Sign on Chest CT
 • Patent airways surrounded by opacified lung
 • DDx: pna,
Air Bronchogram Sign ... DDx: pna, pulm edema ... #Bronchogram #Sign ... #CT #Lung #Pulmonary ... #diagnosis #radiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... periphery of the lung ... may aid in the diagnosis ... #photo #CXR #EmergencyMedicine ... #Cardiology #HamptonHump
Radiographic Signs of Lobar Collapse
General findings to look for:
 • Crowding of ribs near collapse
 •
Radiographic Signs ... elevation - Nick ... lobar #collapse #pulmonary ... #lung #signs #radiology ... #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... #algorithm #management ... #cardiology #treatment