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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)
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... edema must be present ... lobar collapse, lung ... #Distress #Syndrome ... #Berlin #Definition
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
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
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
The Berlin Definition ... Distress Syndrome ... (ARDS) Chest ... effusions, lobar/lung ... #Distress #Syndrome
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
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
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare ... Exclude other causes