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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
: Clinical Cheat ... leading to increased pulmonary ... Berlin criteria ... Summary #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 ... Definition #Criteria #Diagnosis ... #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... the severity Acute ... Distress Syndrome (ARDS ... #differential #diagnosis ... #signs #Lung #POCUS
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... Causes include: ... distress syndrome (ARDS ... lung injury (TRALI ... edema (Traumatic brain
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

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

Chest imaging - Bilateral opacities—not fully explained by
) Chest imaging ... 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 ... Pleuritic chest ... reticular opacities on chest
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
Lazarus Reflex on Physical Exam

The Lazarus sign is a reflex movement observed in brain-dead or brainstem
briefly raising the arms ... dropping them on the chest ... Long-term survival ... diagnosis has been ... video #neurology #criticalcare
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... This post will focus ... trauma are diagnosed ... pattern that your brain ... Radiology #CTChest #Lung