Final answer:
Adult respiratory distress syndrome (ARDS) involves increased permeability of alveolar walls, excessive fluid accumulation, and decreased surface tension in the alveoli.
Step-by-step explanation:
Adult respiratory distress syndrome (ARDS) is characterized by damage leading to increased permeability of the alveolar walls, excessive fluid and protein accumulation interstitially and in the alveoli, as well as a decrease in surface tension in the alveoli. This leads to impaired gas exchange and respiratory failure. However, multiple diffuse hemorrhages in the lungs are not typically associated with ARDS.