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

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome – ARDS ... on CT or CXR ● PaO2 ... there is no clear cause ... the underlying cause ... days after dx of ARDS
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
barns and lake houses ... Febrile illness + ARDS ... chills, myalgias, nausea ... • Autopsy PCR Treatment ... diagnosis #management #treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfusion • Criteria: ARDS ... without other cause ... of ARDS to explain ... : 33% • Treatment ... : No • Treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
non-productive cough, nausea ... pulmonary disease ARDS ... microbiology #diagnosis #treatment
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... Pulmonary edema, ARDS ... Lung POCUS shows
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... kidneys, liver, lung/ARDS ... necrosis STSS Treatment ... Syndrome #STSS #treatment
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
unresponsive to treatment ... without discernable cause ... Medications (NSAlDs, ARBs
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
lidocaine, +/- pre-treatment ... ICP Physiology: CO2 ... : • Low CO2 = ... CPP) • High CO2 ... = dilated BV = raises
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... • Orthopnea - PaO2 ... Oxygenation defect - PaO2 ... ) on room air Treatment ... diagnosis #management #treatment
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Distress Syndrome (ARDS ... submassive PE) POCUS ... #signs #Lung #POCUS