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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... edema must be present ... the underlying cause ... #CriticalCare
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome

•  Timing - within one week of
Understanding & Treating ARDS ... - Acute Respiratory ... Distress Syndrome ... process • Origin of Edema ... #Management #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • A lack of acute ... Etiology: • Acute ... respiratory distress syndrome ... (ARDS) • Opioid
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Stable Angina • Acute ... Coronary Syndrome ... Kyphoscoliosis • Abdominal ... Pneumonia • ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Respiratory Distress Syndrome ... consistent with pulmonary ... edema must be present ... Criteria #Diagnosis #CriticalCare
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 • Volume Expansion: Kidney failure, Pregnancy, Medication
Causes of Peripheral ... prednisone, NSAIDs), Acute ... Heart failure, Pulmonary ... Cirrhosis, Nephrotic syndrome ... lymphatics, Extrinsic compression
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
potentially be an acute ... • Jaundice • Edema ... • Budd-Chiari syndrome ... aneurysms • Acute ... Celiac artery compression
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress Syndrome ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... compartment syndrome ... , Vascular compression ... algorithm #treatment #management
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Edema: - Widespread ... the severity Acute ... Respiratory Distress Syndrome ... (ARDS): - Bilateral