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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... Berlin criteria ... with pulmonary edema ... the underlying cause
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria ... Syndrome (ARDS) ... with pulmonary edema ... be present on a chest ... lobar collapse, lung
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... level <100 pg/ml EKG ... syndrome (ARDS) ... Transfusion-related acute lung ... differential #diagnosis #cardiology
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Chest Pain / ACS ... Ask about: - Changes ... - History - EKG ... diagnosis #Algorithm #cardiology ... #Angina
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... Chest imaging ... effusions, lobar/lung ... objective assessment (eg ... #Definition #Criteria
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... ACEi/ARBs - Hold ... one post op Cardiology ... Unstable Angina ... unless prior heart/lung
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 #