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

An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical ... be detected on CT ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
(ARDS) - Respiratory ... week of a known clinical ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... of invasive GAS disease ... kidneys, liver, lung ... /ARDS, coagulopathy ... #STSS #treatment
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Adjuvant therapies in critical ... treat infectious diseases ... mechanical ventilation, ARDS ... respiratory distress syndrome ... Pharmacology #Management #Treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Presentation: • Mild disease ... failure • Severe pulmonary ... disease ARDS Diagnosis ... Epidemiologic exposure + clinical ... microbiology #diagnosis #treatment
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... Clinical history ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... edema, ARDS, interstitial ... lung disease, interstitial ... #POCUS #clinical
B-Lines on Lung POCUS

PE is LEAST likely to show B lines. Juxtaposition of fluid droplets &
B-Lines on Lung ... alveolar interstitial syndrome ... pulm edema, pna, ARDS ... #POCUS #clinical ... #Pulmonary #ultrasound
AIDS-defining illnesses
 - Candidiasis of the esophagus, bronchi, trachea, or lungs [(but NOT the mouth (thrush)]
AIDS-defining illnesses ... bronchi, trachea, or lungs ... Cytomegalovirus disease ... brain - Wasting syndrome ... due to HIV #AIDS