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Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... week of a known clinical ... lobar collapse, lung ... severity of the ARDS ... >= 5cm H2O #ARDS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
SyndromeARDS ... : Clinical Cheat ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
ARDS/VALI progression ... involvement, with “white lung ... oedema due to heart ... #Clinical #Radiology ... CXR #ChestXRay #ARDS
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Acute respiratory distress ... syndrome (ARDS) ... pulmonary edema ... Transfusion-related acute lung ... #diagnosis #cardiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... Edema: - Widespread ... Acute Respiratory Distress ... Syndrome (ARDS) ... sliding Pulmonary
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
transfusion • Criteria: ARDS ... other cause of ARDS ... to explain symptoms ... : Age>60, CKD, CHF ... edema) • Fever
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... : Atelectasis, ARDS ... Edema, Atelectasis ... , Obstructive Lung ... , Interstitial Lung
Crazy Paving on Chest CT
 • Thickened interlobular septa in a background of diffuse GGO's.
 •
DDx: PAP, pulm edema ... pna, pulm hge, ARDS ... Paving #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
B-Lines on Lung POCUS

PE is LEAST likely to show B lines. Juxtaposition of fluid droplets &
alveolar interstitial syndrome ... pulm edema, pna ... , ARDS, contusion ... #POCUS #clinical ... #Pulmonary #ultrasound
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
capillary leak like in ARDS ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... #Edema #AlveolarEdema