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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... detected on CT or CXR ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
venous system E-CPR ... of VA-ECMO when CPR ... Assess perfusion (eg ... #ECMO #Basics #management ... #pulmonary #criticalcare
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... #diagnosis #management ... #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... ischemic changes CXR ... distress syndrome (ARDS ... Transfusion-related acute lung ... #cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
: weight gain, lung ... HFrEF may lack lung ... → no signs of CXR ... Inhibitors and ARBs ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
to be in ADHF starts ... ECG is vital while ... #algorithm #management ... #cardiology #treatment ... heartfailure #chf #criticalcare
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
and Differential Diagnosis ... , verrucous) - Lung ... nodes • Roth’s spots ... ↑ ESR, CRP • EKG ... #cardiology #infectiousdiseases
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
ACEi/ARBs - Hold ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Inhalation of spores ... change in the lungs ... arthritis, and endocarditis ... nails, bronchi, lungs ... #Management #Infections