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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... : Clinical Cheat ... leading to increased pulmonary ... consistent with pulmonary
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
Diseases (ILD) ... • Idiopathic pulmonary ... Churg Strauss syndrome ... Acute, Chronic • Pulmonary ... #differential #pulmonary
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... Renal Syndromes ... , biopsy By Tess ... differential #diagnosis #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases ... , CNS Disease, Meds ... Algorithm #diagnosis #nephrology
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... week of a known clinical ... consistent with pulmonary ... lobar collapse, lung ... #Syndrome #Berlin
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 ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... ) Cardiogenic Pulmonary ... Acute Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... Embolism, Obstructive Lung ... , Interstitial Lung
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... of invasive GAS disease ... kidneys, liver, lung ... /ARDS, coagulopathy ... #Toxic #Shock #Syndrome
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
disease, idiopathic ... pulmonary fibrosis ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis