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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... – ARDS: Clinical ... sepsis-associated ARDS ... days after dx of ARDS ... #ARDS #Summary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... (ARDS) - Respiratory ... severity of the ARDS ... >= 5cm H2O #ARDS ... #Distress #Syndrome
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Distress Syndrome ... moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Edema: - Widespread ... severity Acute Respiratory ... Distress Syndrome ... (ARDS): - Bilateral ... #differential #
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Causes include: ... distress syndrome ... (ARDS) • Opioid ... #edema #NCPE #differential
Preterm Infant Complications - Differential Diagnosis
Respiratory:
 • Transient Tachypnea of the Newborn (TTN)
 • Respiratory Distress
Distress Syndrome ... (RDS) • Chronic ... Lung Disease (CLD ... Enterocolitis (NEC) Neurologic ... #Diagnosis #Causes
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Failure - Differential ... drive due to neurologic ... obesity-hypoventilation syndrome ... edema (most common ... hepatopulmonary syndrome
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Differential Diagnosis ... blood cells in the lung ... failure or ARDS ... edema can be caused ... #edema #causes
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV/AIDS ... edema; ARDS, Metastatic ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... #diseases #differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... : Atelectasis, ARDS ... Edema, Atelectasis ... , Obstructive Lung ... Hypoxia #hypoxemia #differential