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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 ... Berlin criteria ... Summary #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... lobar collapse, lung ... #Syndrome #Berlin ... Definition #Criteria #Diagnosis ... #CriticalCare
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Differential Diagnosis ... Crack cocaine, Heroin ... polyangiitis (EGPA, Churg-Strauss ... • Idiopathic: Acute ... #Differential #
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
the severity Acute ... Syndrome (ARDS) ... #differential # ... diagnosis #signs ... #Lung #POCUS #ultrasound
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
pneumonia (DIP), Acute ... Churg Strauss syndrome ... Eosinophilic pneumonia: Acute ... Diseases #ILD #diagnosis ... #differential #
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diagnosis Algorithm ... Disease • Acute ... Respiratory Distress ... Syndrome
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... Diagnosis Framework ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Distress Syndrome ... effusions, lobar/lung ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... #Distress #Syndrome
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... pleural effusions • Acute ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare
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