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
Respiratory Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... #CheatSheet #Diagnosis ... #Management #CriticalCare
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Respiratory Distress Syndrome ... (ARDS): - Bilateral ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
- Differential Diagnosis ... Algorithm Transudate ... Pneumonectomy β€’ Trapped lung ... Malignancy β€’ Pulmonary ... #Diagnosis #Algorithm
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
- Differential Diagnosis ... Algorithm Cardiac ... Superior vena cava syndrome ... β€’ Interstitial lung ... #Algorithm #Causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... edema, ARDS, interstitial ... lung disease, interstitial ... NOT definitively diagnose
β–Ί
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... : Atelectasis, ARDS ... , Interstitial Lung ... #differential #diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... consistent with pulmonary ... lobar collapse, lung ... Definition #Criteria #Diagnosis ... #CriticalCare
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF β†’ occurs
of invasive GAS disease ... kidneys, liver, lung ... /ARDS, coagulopathy ... STSS #treatment #management ... #diagnosis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
, Severe Valve Disease ... β€’ Obstructive: Pulmonary ... #criticalcare # ... algorithm #treatment ... #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... life-threatening diseases ... Inflammatory eye disease ... sparing of the lung ... #management #treatment