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Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Distress Syndrome ... moderate to severe ARDS ... increased 28-day all-cause ... Recruitment #PEEP #ARDS ... Postoperative #Pulmonary
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Algorithm Cardiac Causes ... Causes: - Parenchyma ... • Acute Respiratory ... Distress Syndrome ... #HeartFailure #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... Etiology: • Acute respiratory ... distress syndrome ... (ARDS) • Opioid ... differential #diagnosis #cardiology
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... severity Acute Respiratory ... Distress Syndrome ... (ARDS): - Bilateral
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
, defecation) Respiratory ... : • Pulmonary ... • Sick Sinus Syndrome ... #Syncope #Cardiology ... Diagnosis #Algorithm #causes
Haglund Syndrome - MSK Radiology
Imaging Findings:
 • The Haglund Deformity (enlarged superior margin calcaneal posterior process)
- MSK Radiology ... Case description ... • Stress fracture ... mri #clinical #Radiology ... #diagnosis #msk
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 ... Exclude other causes ... pneumonia - Pulmonary
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
outcome in many cases ... indistinguishable from acute respiratory ... distress syndrome ... (ARDS). ... #Clinical #Radiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... ACEi/ARBs - Hold ... days before Pulmonary ... one post op Cardiology