0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
ARTICLE |

Diagnosis of Acute, Diffuse Pulmonary Infiltrates

Kenneth M. Moser, MD
JAMA. 1984;252(15):2044-2047. doi:10.1001/jama.1984.03350150044019.
Text Size: A A A
Published online

PATIENTS with an acute, diffuse pulmonary infiltrate pose substantial diagnostic and treatment challenges. Some such patients' conditions may qualify, when first examined, for a diagnosis of adult respiratory distress syndrome (ARDS). That syndrome consists of the presence of diffuse pulmonary infiltrates of unknown cause, arterial hypoxemia (due to a "right-to-left shunt" mechanism), and a normal pulmonary capillary ("wedge") pressure.1 Other patients with somewhat less severe involvement may seem to be approaching fulfillment of the criteria for a diagnosis of ARDS.

Part of the challenge posed by such patients is that some 30% have pulmonary infection as the basis for ARDS2; in the remainder, the pathogenetic basis is noninfectious and related to a biochemical-cellular sequence that has yet to be defined. Treatment of the latter is presently supportive; good support includes the avoidance of procedures that may further compromise respiratory function. It is also clear, however, that when infection

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Letters

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();