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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... the underlying cause ... #ARDS #Summary ... #CheatSheet #Diagnosis
ARDS - Overview

M. Daniyal Hashmi, MD @MDaniyalHashmi1

#ARDS #Respiratory #Distress #Acute #Syndrome #Diagnosis #Management #CriticalCare #summary
#Respiratory #Distress ... #Acute #Syndrome ... #Diagnosis #Management ... #CriticalCare #summary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... the severity Acute ... Syndrome (ARDS) ... #differential #diagnosis
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... pneumonia (DIP), Acute ... Churg Strauss syndrome ... Diseases #ILD #diagnosis ... #causes
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Noninfectious Causes ... : - Acute myocardial ... infarction - Pulmonary ... Thyroid storm - Acute ... Recent seizure - Sickle
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Differential Diagnosis ... Helminthic: Loffler syndrome ... polyangiitis (EGPA, Churg-Strauss ... • Idiopathic: Acute ... #causes
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Troubleshooting Summary ... DDx: Obstructive lung ... Treat underlying cause ... Troubleshooting #diagnosis ... #management #pulmonary
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... - Differential Diagnostic ... : R/O cardiac, pulmonary ... Ketoacidosis) • Sickle ... Irritable bowel syndrome
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... Summary myelo ( ... old, ~10,000 new cases ... transformation to acute ... Myelodysplastic #Syndrome