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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... , inflammatory lung ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Syndrome (ARDS) ... consistent with pulmonary ... lobar collapse, lung ... #Distress #Syndrome
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... Etiology: • Acute ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
AIDS-defining illnesses
 - Candidiasis of the esophagus, bronchi, trachea, or lungs [(but NOT the mouth (thrush)]
bronchi, trachea, or lungs ... tuberculosis, any site (pulmonary ... brain - Wasting syndrome ... due to HIV #AIDS ... #InfectiousDiseases
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... Pneumonia: • 3 syndromes ... of a "flu-like syndrome ... #AIDS #pulmonary ... differential #diagnosis #infectiousdiseases
Preterm Infant Complications - Differential Diagnosis
Respiratory:
 • Transient Tachypnea of the Newborn (TTN)
 • Respiratory Distress
• Respiratory Distress ... Syndrome (RDS) ... • Chronic Lung ... Enterocolitis (NEC) Neurologic ... Impairments (NDI) Ophthalmology
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Interpretation Steps ... Acute or chronic ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... or restrictive lung