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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 ... edema must be present ... there is no clear cause ... the underlying cause
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... Edema: - Widespread ... the severity Acute ... Syndrome (ARDS)
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • A lack of acute ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome ... RHF #RightSided #HeartFailure
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Syndrome (ARDS) ... edema must be present ... lobar collapse, lung ... #Distress #Syndrome
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Interpretation Steps ... Acute or chronic ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... or restrictive lung
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
1 — Treat the lungs ... edema - Large ... drained if causing acute ... (no B-lines on ultrasound ... #Cardiogenic #HeartFailure
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
the resistance simply ... cardiac output - Acute ... pulmonary edema ... - Compartment syndrome ... peritonitis - Acute
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
more than just simply ... with presence of pulmonary ... coronary syndrome ... the determined cause ... table #foamed #heartfailure