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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... Berlin criteria ... edema must be present ... be detected on CT ... or CXR ● PaO2/
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... edema must be present ... computed tomographic (CT ... fully explained by pleural ... lobar collapse, lung
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
involvement, with “white lung ... structures help in the differential ... oedema due to heart ... #Clinical #Radiology ... #CXR #ChestXRay
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... ischemic changes CXR ... distress syndrome (ARDS ... Transfusion-related acute lung ... #edema #NCPE #differential
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Berlin Criteria ... : Age>60, CKD, CHF ... fluid balance, and CXR ... with pulmonary ... edema) • Fever
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Differential Diagnosis ... blood cells in the lung ... brain injury, cerebral ... respiratory failure or ARDS ... #differential #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... HFrEF may lack lung ... , bilateral pleural ... → no signs of CXR
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
embolism, Pulm edema ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... diagnosis #evaluation #differential
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
position Obstructive lung ... diseased areas of the lung ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
CT will also demonstrate ... Bilateral pleural ... be high in the differential ... #Clinical #Radiology ... #CTChest #CHF #