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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 ... Berlin criteria ... 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 ... on a chest radiograph ... computed tomographic (CT ... lobar collapse, lung
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
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
ischemic changes CXR ... distress syndrome (ARDS ... Transfusion-related acute lung ... brain injury, cerebral ... #diagnosis #cardiology
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
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
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