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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... be detected on CT ... the underlying cause ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
Leptospirosis Pathogen ... non-productive cough, nausea ... failure • Severe pulmonary ... disease ARDS Diagnosis ... #treatment #management
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Respiratory Distress Syndrome ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary ... #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... computed tomographic (CT ... lobar collapse, lung ... Definition #Criteria #Diagnosis ... #CriticalCare
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
Findings on Chest CT ... ARDS 3. ... #Pulmonary #ChestCT ... #radiology #CTChest ... #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
edema; ARDS, Metastatic ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... #differential #diagnosis ... #chestCT #radiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... • Diffuse Lung ... Respiratory Distress Syndrome ... • Chronic Lung ... #HeartFailure #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... respiratory distress syndrome ... (ARDS) • Opioid ... Transfusion-related acute lung ... #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Hyperkalemia Pulmonary ... Babesiosis • Leptospirosis ... #differential #diagnosis ... #causes #cardiology