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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... congestion with hypoxemia ... edema must be present ... be detected on CT ... or CXR ● PaO2/
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
ARDS/VALI progression ... involvement, with “white lung ... oedema due to heart ... #Clinical #Radiology ... #CXR #ChestXRay
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
with alveolar edema ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... #AlveolarEdema
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... edema must be present ... on a chest radiograph ... computed tomographic (CT ... lobar collapse, lung
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
capillary leak like in ARDS ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... #Edema #AlveolarEdema
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
Crazy Paving on Chest ... DDx: PAP, pulm edema ... pna, pulm hge, ARDS ... #Lung #Pulmonary ... #clinical
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... : weight gain, lung ... Chest x-ray: signs ... → no signs of CXR ... diagnosis #management #cardiology
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 ... chest scan), CBC
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
edema: cardiac, ... permeability (ARDS ... edema (6): - Normal ... #Clinical #Radiology ... #CXR #CHF #Vascular