Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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 ... consistent with pulmonary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress ... Syndrome (ARDS) ... #Distress #Syndrome ... Definition #Criteria #Diagnosis ... #CriticalCare
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
by Classification ... contractility) - Acute ... exacerbation (any cause ... flow) - Massive pulmonary ... #Table #CriticalCare
Shock - Differential Diagnosis by Classification
Reflex Syncope 
 - Vasovagal syncope
   • Prolonged standing
- Differential Diagnosis ... by Classification ... • Emotional stress ... Subclavian steal syndrome ... #Table #Causes
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS) ... #differential #diagnosis
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... At least 3 of (Acute ... resp distress, ... , and CXR with pulmonary ... #comparison #table
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacities—not fully explained by
Syndrome (ARDS) ... >= 5cm H2O #Diagnosis ... #CriticalCare # ... ARDS #Acute #Respiratory ... #Distress #Syndrome
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Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... cardiomyopathy • Pulmonary ... during Delivery • Stable ... Avoid ARBs • ICD