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Important Respiratory Distress Pearls

#diagnosis #respiratory #distress #NRDS #RDS #TTN #MAS #neonatal #pediatric #adult #respiratory #adverse #effects
Important Respiratory Distress ... #respiratory #distress ... #NRDS #RDS #TTN ... adverse #effects #pulmonary ... ventilation #algorithm #causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... there is no clear cause ... the underlying cause
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... Edema vs ARDS ... edema / ARDS: ... UAlberta_Sono #APE #ARDS ... clinical #diagnosis #ultrasound
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Ultrasound Findings ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS) ... #POCUS #ultrasound
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Syndrome (ARDS) ... consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... #Syndrome #Berlin
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... • Idiopathic pulmonary ... Churg Strauss syndrome ... #differential #pulmonary ... #causes
Causes of Respiratory Distress in the Newborn - Differential Diagnosis Algorithm
Premature Newborn
 - Normal CXR:
Causes of Respiratory ... Distress in the ... Syndrome (RDS)* ... Syndrome (RDS)* ... Diagnosis #Algorithm #Causes
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Cystic Lung Disease ... Ehlers-danlos Syndrome ... nickmmark #Cystic #Lung ... differential #diagnosis #causes ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Acute Coronary Syndrome ... Pleural Thickening/Masses ... Pneumonia • ARDS ... Diagnosis #Algorithm #Causes