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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: ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI ... #diagnosis #cardiology
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
Upper Lobe Lung Diseases - STAR CHASERS Mnemonic

S - Silicosis
T - Tuberculosis
A - Ankylosing Spondylitis
R -
• ↑ Mechanical stress ... apices caused by ... edema in acute ... edema • Metabolic ... #STARCHASERS #radiology
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