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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... or CXR ● PaO2/FiO2 ... there is no clear cause ... the underlying cause
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Uncommon Causes ... dissolved in the PaO2/FiO2 ... of acute respiratory ... Embolism: • Acute ... #edema #causes
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Flow 6-10 LPM • FiO2 ... 10-15 LPM • FiO2 ... A venturi mask uses ... 10-15 LPM • FiO2 ... Devices #management #pulmonary
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
high percentage FiO ... retention of exhaled gases ... • Uses either ... set to desired FiO2 ... #Pulmonary #Equipment
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... consistent with pulmonary ... lung collapse, or pulmonary ... mm Hg < PaO2 / FiO2 ... H2O #ARDS #Acute
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = [FiO2 ... chest) • Low PiO2 ... Elevation, Low Fio2 ... Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
- 6 L/min • FiO2 ... - 10 L/min • FiO2 ... - 15 L/min • FiO2 ... on valve) • FiO2 ... devices #management #pulmonary
Causes of Cough and Hemoptysis
Acute Inflammation 
 - Laryngitis 
 - Tracheobronchitis 
 - Mycoplasma and
Causes of Cough ... and Hemoptysis Acute ... Bronchiectasis - Pulmonary ... Mitral Stenosis - Pulmonary ... #Differential #Causes
Drugs Causing Acute Pancreatitis

Class Ia: The medications in which there was a rechallenge and other causes
Drugs Causing Acute ... rechallenge and other causes ... out other common causes ... Class II: Cases ... #Pancreatitis #Causes
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... consolidation is pulmonary ... from the various causes ... patients, who have an acute ... a superimposed pulmonay