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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 ... consistent with pulmonary ... the underlying cause ... #ARDS #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 #
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 ... ILD #diagnosis #differential ... #pulmonary #causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... • Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Noninfectious Causes ... DIAGNOSES: - Acute ... infarction - Pulmonary ... Recent seizure - Sickle
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Differential Diagnosis ... polyangiitis (EGPA, Churg-Strauss ... • Idiopathic: Acute ... #Differential # ... Diagnosis #causes
Diffuse Acute Abdominal Pain (<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac,
Diffuse Acute Abdominal ... (<72 hours) - Differential ... : R/O cardiac, pulmonary ... Ketoacidosis) • Sickle ... Irritable bowel syndrome
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Causes include: ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
Therefore, conditions caused ... • ↑ Mechanical stress ... apices caused by ... edema in acute ... #diseases #differential
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 #mechanical