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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... Syndrome – ARDS ... there is no clear cause ... the underlying cause ... Diagnosis #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... be present on a chest ... lobar collapse, lung ... #Syndrome #Berlin ... Criteria #Diagnosis #CriticalCare
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Pneumonia: • 3 syndromes ... of a "flu-like syndrome ... factor • May cause ... Infections #HIV #AIDS ... differential #diagnosis #infectiousdiseases
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... Chest imaging ... effusions, lobar/lung ... #Diagnosis #CriticalCare ... #Distress #Syndrome
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Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung ... differential #diagnosis #cardiology
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced Lung ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... Exclude other causes
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
rare idiopathic lung ... acute respiratory distress ... syndrome (ARDS) ... #Clinical #Radiology ... #CTChest #AIP #
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... ACEi/ARBs - Hold ... one post op Cardiology ... change CV risk Chest ... unless prior heart/lung