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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
leading to increased pulmonary ... consistent with pulmonary ... detected on CT or CXR ... objective assessment“ (e.g ... Summary #CheatSheet #Diagnosis
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
In ARDS, we know ... see heterogenous patterns ... pathophysiology #diagnosis ... #management #ards ... #foamed #criticalcare
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... - Chest Radiology ... throughout the lungs ... • Named after ... #pulmonary #CXR
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
level <100 pg/ml EKG ... ischemic changes CXR ... distress syndrome (ARDS ... Transfusion-related acute lung ... #cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
: UA, Urine protein ... recent DAN) • EMG ... sparing of the lung ... • IF staining patterns ... #management #treatment
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
Amiodarone Induced Lung ... Direct cytotoxic lung ... organizing pneumonia, ARDS ... of lipid-laden 'foamy ... #diagnosis #management
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
status and low urine ... with presence of pulmonary ... ECG is vital while ... #algorithm #management ... #table #foamed
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... unless prior heart/lung ... medical and surgical management ... stratification #diagnosis