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differential management infections infectiousdiseases treatment ultrasound pneumonia radiology acute blines cardiology causes criticalcare edema evaluation hiv latenttb ncpe noncardiogenic sign
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
– ARDS: Clinical ... or CXR ● PaO2/ ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
ARDS/VALI progression over the course of 1 week (a) Day 1 - No pathological findings.
ARDS/VALI progression ... the differential diagnosis ... #Clinical #Radiology ... #CXR #ChestXRay ... #ARDS #Progression
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
(ARDS) - Respiratory ... week of a known clinical ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
edema • BNP level ... ischemic changes CXR ... respiratory distress syndrome ... (ARDS) • Opioid ... Transfusion-related acute lung
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... edema, ARDS, interstitial ... NOT definitively diagnose ... #POCUS #clinical
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 Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Respiratory Distress Syndrome ... (ARDS): - Bilateral ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Room Air + Sea Level ... Hypoventilation Syndrome ... : Atelectasis, ARDS ... , Interstitial Lung ... #differential #diagnosis
B-Lines on Lung POCUS PE is LEAST likely to show B lines. Juxtaposition of fluid droplets &
B-Lines on Lung ... alveolar interstitial syndrome ... pulm edema, pna, ARDS ... #POCUS #clinical ... #Pulmonary #ultrasound
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 TRALI vs TACO - Transfusion Reactions TRALI: • Epidemiology: 0.1% of transfused patientsl • Risk factors: Critical
transfusion • Criteria: ARDS ... other cause of ARDS ... fluid balance, and CXR ... with pulmonary ... Reactions #hematology #diagnosis
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... HIVAIDS #workup #diagnosis
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