6 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... fractures missed by CXR ... #PhysicalExam #clinical
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... fractures missed by CXR ... #PhysicalExam #clinical
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... : Clinical Cheat ... detected on CT or CXR ... <300mmHg with a
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Acute Respiratory Distress ... Syndrome (ARDS) ... known clinical insult ... chest radiograph ... Criteria #Diagnosis #CriticalCare
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Wall Elasticity (flail ... chest) • Low ... Left Shunt - Anatomic ... : Atelectasis, ARDS
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Change in clinical ... ACEi/ARBs - Hold ... change CV risk Chest