11 results
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... or CXR ● PaO2/ ... sepsis-associated ARDS ... days after dx of ARDS ... RespiratoryDistress #Syndrome #ARDS
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome (ARDS ... be present on a chest ... computed tomographic (CT ... severity of the ARDS ... >= 5cm H2O #ARDS
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Traumatic brain injury ... nervous system injury ... common causes of acute ... respiratory failure or ARDS ... infiltrates on chest
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
is a radiologic sign ... hump along may aid ... confirmed with chest ... CT angiography. ... #photo #CXR #EmergencyMedicine
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
risk factors for ARDS ... Acute onset, Hypoxemia ... < 90% on room air ... chest CT, or ultrasound ... diagnosed with ARDS
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Loss of weight • Chest ... Nasal polyps and signs ... thickening, presence of air-fluid ... CT) • Broncho-arterial
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
cytotoxic lung injury ... organizing pneumonia, ARDS ... toxicity (e.g., acute ... Pleuritic chest ... #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... Pneumonia Signs ... • Pleuritic chest ... radiograph or CT ... #treatment #Pulmonary
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• Pleuritic chest ... • CT: Halo sign ... Lymphadenopathy, Chest ... Infections #HIV #AIDS ... #pulmonary #differential
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... x-ray (CXR), try ... not seen on a CXR ... Pulmonary Contusion