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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... congestion with hypoxemia ... edema must be present ... be detected on CT ... or CXR ● PaO2/
Radiographic Features of Pulmonary Diseases
 - Pneumonia
 - Atelectasis
 - Emphysema
 - Pneumothorax
 - Effusion
 -
- Nodular - Acute ... Pulmonary Edema ... #Diseases #Radiology ... #Patterns #Lung ... #CXR #XRay #ChestCT
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... ischemic changes CXR ... distress syndrome (ARDS ... lung injury (TRALI ... #diagnosis #cardiology
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
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... patients, who have an acute ... infection, ARDS ... #Diagnosis #Radiology ... #Pulmonary #CXR
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... edema must be present ... computed tomographic (CT ... lobar collapse, lung ... severity of the hypoxemia
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
permeability (ARDS ... permeability or acute ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: Age>60, CKD, CHF ... At least 3 of (Acute ... fluid balance, and CXR ... with pulmonary ... edema) • Fever
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 ... (Sens. 81% for acute ... CXR congestion. ... diagnosis #management #cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the lung ... In these cases comparison ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization