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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... Cheat Sheet ... Berlin criteria ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Pneumothorax, Alveolar ... Exam, POCUS (B-lines ... , lung sliding) ... STAT CXR, CTA Chest ... #criticalcare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... : Atelectasis, ARDS ... , Interstitial Lung ... #differential #diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... Respiratory Distress Syndrome ... be present on a chest ... lobar collapse, lung ... #Diagnosis #CriticalCare
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT chest ... leading to diffuse alveolar ... sparing of the lung ... typically seen on chest ... #management #treatment
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... Pneumonia: • 3 syndromes ... phagocytic function of alveolar ... of a "flu-like syndrome ... #pulmonary #differential
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 # ... Berlin #Definition #Criteria
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... respiratory distress syndrome ... Pleuritic chest ... macrophages in alveolar ... #diagnosis #management
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... blood cells in the lung ... interstitium and alveoli ... capillaries • Criteria ... respiratory failure or ARDS