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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
ARDS: Clinical ... congestion with hypoxemia ... Berlin criteria ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
week of a known clinical ... lobar collapse, lung ... severity of the hypoxemia ... #Criteria #Diagnosis ... #CriticalCare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Wall Elasticity (flail ... : Atelectasis, ARDS ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
- Differential Diagnosis ... respiratory distress syndrome ... (ARDS) • Opioid ... lung injury (TRALI ... edema (Traumatic brain
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
(ARDS) Chest ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
- Differential Diagnosis ... blood cells in the lung ... common causes of acute ... respiratory failure or ARDS ... Embolism: • Acute
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
PRES Clinical ... Neurological symptoms: Acute ... hemispheres • (FLAIR ... , ADEM, Acute toxic ... Seizures: Treat with AEDs
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... fungal stain of clinical ... • Sinusitis • Brain ... change in the lungs ... nails, bronchi, lungs