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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... Berlin criteria ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... for Acute Respiratory ... consistent with pulmonary ... #Acute #Respiratory ... #Diagnosis #CriticalCare
Approach to Possible Hypertensive Emergency

criteria required to diagnose hypertensive emergency
(1) Severe hypertension
 - Usually a MAP
Hypertensive Emergency criteria ... emergency (1) Severe ... hypertension (e.g ... - Pulmonary edema ... #Algorithm #CriticalCare
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... level <100 pg/ml EKG ... distress syndrome (ARDS ... #differential #diagnosis ... #cardiology
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
Acute onset, Hypoxemia ... evidence of bilateral pulmonary ... edema on imaging (eg ... #Criteria #pulmonary ... #criticalcare
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
• Malignancy (e.g ... Complications of acute ... infarction • Aortic ... patients with pulmonary ... #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
telemetry, 12-Lead EKG ... 5) Analyze and Reverse ... Tamponade - Pulmonary ... >> Acute PE, Tension ... Management #Summary #criticalcare
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
objective assessment (eg ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory ... Berlin #Definition #Criteria
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... Severe Aortic stenosis ... stratification #diagnosis