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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... the underlying cause
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Respiratory Distress Syndrome ... moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... sliding Pulmonary
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Cystic Lung Disease ... Ehlers-danlos Syndrome ... nickmmark #Cystic #Lung ... differential #diagnosis #causes ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Acute Coronary Syndrome ... Pleural Thickening/Masses ... Pneumonia • ARDS ... Diagnosis #Algorithm #Causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... : Interstitial lung ... ventilation (V) in the lungs ... bypassing the lungs ... hepatopulmonary syndrome
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... • Idiopathic pulmonary ... Churg Strauss syndrome ... #differential #pulmonary ... #causes
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... Respiratory #Distress #Syndrome
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
appearances of pulmonary ... diseases in HIV/AIDS ... edema; ARDS, Metastatic ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung