Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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9 results
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Edema vs ARDS ... pleural line ... edema / ARDS: ... #pulmonary #edema ... #comparison #clinical
β–Ί
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
permeability (ARDS ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison ... VascularPedicleWidth #RadiologyAssistant
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... consistent with pulmonary ... edema must be present ... fully explained by pleural ... effusions, lobar
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... , interstitial edema ... and some pleural ... #Clinical #Radiology ... #Comparison #RadiologyAssistant
TRALI vs TACO - Transfusion Reactions
TRALI:
 β€’ Epidemiology: 0.1% of transfused patientsl
 β€’ Risk factors: Critical
Risk factors: Critical ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... edema) β€’ Fever ... hematology #diagnosis #comparison
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
capillary leak like in ARDS ... #Clinical #Radiology ... Alveolar #Pulmonary ... #Edema #AlveolarEdema ... Gravity #Dependent #RadiologyAssistant
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
equidistant from the pleura ... come from the pleura ... edema, ARDS, pneumonia ... #Lung #POCUS #pulmonary ... #clinical #comparison
β–Ί
Based on the CXR that you just saw, you could have made the diagnosis of congestive
The pulmonary vessels ... There is pleural ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema ... #RadiologyAssistant