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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... the underlying cause ... Diagnosis #Management #CriticalCare
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Sighing Respiration ... hyperventilation syndrome—a ... In lung disease ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... consistent with pulmonary ... lobar collapse, lung ... #Syndrome #Berlin ... Criteria #Diagnosis #CriticalCare
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
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
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... ventilation and observe breathing ... Brainstem reflexes • Respiration ... Casey Albin MD @ ... caseyalbin #PhysicalExam
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare ... Exclude other causes
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
Breathing and chest ... of respiratory distress ... intra-abdominal masses ... pressure in the arms ... Newborn #Infant #PhysicalExam