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Acute respiratory distress syndrome — ABEM Board MCQ

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HardPulmonary emergenciesAcute respiratory distress syndromeABEM Board

A 52-year-old woman with pancreatitis is intubated in the ED for hypoxemia. Chest radiograph shows bilateral diffuse opacities, PaO2/FiO2 is 90 on PEEP 10 cm H2O, and echocardiography shows normal LV function. Which of the following is the most likely diagnosis?

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Correct answer: CAcute respiratory distress syndrome

Severe hypoxemia with bilateral opacities not explained by cardiac failure after an inflammatory insult is consistent with ARDS.

Reference: Berlin ARDS definition; ABEM EM Model