Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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 ... Berlin criteria ... objective assessmentβ€œ (e.g ... 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
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (β€œDecr Effective Circulating Volume”) 
 - Volume depletion
- Cirrhosis Syndrome ... - Malignancy (e.g ... carcinoma of the lung ... pathology (e.g. ... #Diagnosis #Table
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
the severity Acute ... Respiratory Distress ... Syndrome (ARDS) ... #differential # ... diagnosis #signs
The Berlin Definition of Acute Respiratory Distress Syndrome (ARDS)

Chest imaging - Bilateral opacitiesβ€”not fully explained by
Distress Syndrome ... effusions, lobar/lung ... objective assessment (eg ... #CriticalCare # ... #Distress #Syndrome
β–Ί
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 β€’ Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Polyneuropathy, Acute ... stroke, Acute spinal ... polyneuropathy (e.g ... Testing #Causes #differential ... #diagnosis #table
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
disease-associated interstitial lung ... AIP: acute interstitial ... PSS: Sjogren syndrome ... #Differential # ... Comparison #Table
Causes of Peripheral Edema - Differential Diagnosis
Increased Hydrostatic Pressure
 β€’ Volume Expansion: Kidney failure, Pregnancy, Medication
Medication side effect (e.g ... prednisone, NSAIDs), Acute ... Heart failure, Pulmonary ... Cirrhosis, Nephrotic syndrome ... β€’ Filariasis (e.g
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
Diagnosis Framework ... High altitude (eg ... Intrapulmonary shunting (eg ... intracardiac shunting (eg ... #Diagnosis #pulmonary
Small Vessel Vasculitides
 β€’ Granulomatosis with polyangiitis - Granulomatous manifestations (e.g., nasal crusting, destructive sinusitis, pulmonary
manifestations (e.g ... destructive sinusitis, pulmonary ... - Interstitial lung ... and Sjogren's syndrome ... #diagnosis