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Surgery General a54478c8

A 57 year old male suffering from acute pancreatitis develops sudden onset breathlessness with a CVP< 18mmHg. The chest xray shows bilateral infiltrates. The possible diagnosis is

A
ARDS
B
Myocardial infarction
C
Congestive left hea failure
D
Pulmonary embolism
High-Yield Explanation
Answer- A. ARDSARDS CriteriaAcute, meaning onset over 1 week or less.Bilateral opacities consistent with pulmonary edema must be present and may be detected on CT or chest radiograph.PF ratio < 300 mmHg with a minimum of 5 cmH20 PEEP (or CPAP).CVP < l8 mmHg.

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