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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Cheat Sheet ... Berlin criteria ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... be present on a chest ... lobar collapse, lung ... #Criteria #Diagnosis ... #CriticalCare
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
(ARDS) Chest ... effusions, lobar/lung ... #CriticalCare # ... ARDS #Acute #Respiratory ... #Criteria
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
the severity Acute ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis ... #signs #Lung #POCUS
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... respiratory distress syndrome ... (ARDS) • Opioid ... lung injury (TRALI ... edema (Traumatic brain
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
Acute onset, Hypoxemia ... on imaging (eg. chest ... chest CT, or ultrasound ... #Criteria #pulmonary ... #criticalcare
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... blood cells in the lung ... capillaries • Criteria ... respiratory failure or ARDS ... infiltrates on chest
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress syndrome ... Pleuritic chest
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
dropping them on the chest ... spinal reflex arc ... Long-term survival ... diagnosis has been ... video #neurology #criticalcare
Mycoses

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