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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Syndrome JAMA ... moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS ... #Syndrome #Berlin
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV/AIDS ... edema; ARDS, Metastatic ... avium complex • Nodular ... /Masses: M.tuberculosis ... Actinomyces spp., NHL; Lung
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
GAS in 30% of cases ... kidneys, liver, lung ... /ARDS, coagulopathy ... , erythematous macular ... #STSS #treatment
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfusion • Criteria: ARDS ... without other cause ... of ARDS to explain ... : 33% • Treatment ... , and CXR with pulmonary
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... Stress, Nausea, ... Pulmonary Diseases ... Algorithm #diagnosis #nephrology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Causes include: ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung
Preterm Infant Complications - Differential Diagnosis
Respiratory:
 • Transient Tachypnea of the Newborn (TTN)
 • Respiratory Distress
• Respiratory Distress ... Syndrome (RDS) ... • Chronic Lung ... Enterocolitis (NEC) Neurologic ... Differential #Diagnosis #Causes