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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... leading to increased pulmonary ... consistent with pulmonary ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... be present on a chest ... lobar collapse, lung ... Definition #Criteria #Diagnosis ... #CriticalCare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Left Shunt - Anatomic ... : Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung ... #differential #diagnosis
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
Upper Lobe Lung ... caused by a rigid chest ... With Upper Lobe ... edema in acute ... #differential #diagnosis
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... blood cells in the lung ... common causes of acute ... respiratory failure or ARDS ... Embolism: • Acute
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... pleural effusions • Acute ... toxicity (e.g., acute
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
) Chest imaging ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
TRALI Diagnostic ... Acute onset, Hypoxemia ... evidence of bilateral pulmonary ... #Criteria #pulmonary ... #criticalcare
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute ... aches, joint pain, chest ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs