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A serious case of Flail chest. This is a medical emergency!

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern
A serious case of ... Flail chest. ... Pattern #Trauma #Video ... #PhysicalExam #Pulmonary ... #Respiratory
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Wall Elasticity (flail ... Edema, Atelectasis ... , Obstructive Lung ... Gradient #alveolar #arterial
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... edema (most common ... ventilation (V) in the lungs ... bypassing the lungs ... shunting (eg, atrial
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
blood cells in the lung ... of the spiral arteries ... edema can be caused ... by a massive PE ... #edema #causes
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
breathing is often a ... It causes the chest ... DDx includes flail ... #clinical #video ... #pulmonary #peds
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... • Diffuse Lung ... • Acute Respiratory ... • Chronic Lung ... Arterial Hypertension
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... Physical/Labs: • A ... Etiology: • Acute respiratory ... pulmonary edema ... Transfusion-related acute lung
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
- Bilateral A-lines ... pleura in severe cases ... Edema: - Widespread ... severity Acute Respiratory ... - Bilateral A-lines
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... edema must be present ... lobar collapse, lung ... collapse, or pulmonary ... by the ratio of arterial
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... leading to increased pulmonary ... consistent with pulmonary ... edema must be present ... <300mmHg with a