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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... – ARDS: Clinical ... Cheat Sheet ... detected on CT or CXR ... #CheatSheet #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Acute Coronary Syndrome ... Chest Wall Abnormalities ... Pneumonia • ARDS ... #Differential #Diagnosis
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
ARDS/VALI progression ... involvement, with “white lung ... the differential diagnosis ... #Clinical #Radiology ... #CXR #ChestXRay
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... - Differential Diagnosis ... • Interstitial lung ... Hypoventilation Syndrome ... Abnormalities • Chest
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Bronchospasm, Pulmonary ... (JVP, edema), Lung ... POCUS (B-lines, lung ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
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
Respiratory Distress Syndrome ... week of a known clinical ... be present on a chest ... lobar collapse, lung ... Definition #Criteria #Diagnosis
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... in interstitial lung ... is interstitial lung ... seen and in many cases ... #Pulmonary #CXR
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... In daily clinical ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis