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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Cheat Sheet ... congestion with hypoxemia ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
(JVP, edema), Lung ... Exam, POCUS (B-lines ... , lung sliding) ... STAT CXR, CTA Chest ... #treatment #criticalcare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
be present on a chest ... lobar collapse, lung ... severity of the hypoxemia ... Definition #Criteria #Diagnosis ... #CriticalCare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... : Atelectasis, ARDS ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
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
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... blood cells in the lung ... common causes of acute ... respiratory failure or ARDS ... infiltrates on chest
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
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
(ARDS) Chest ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
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