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clinical physicalexam diagnosis respiratory breathing bronchoscopy differential management chest cardiology thoracic flail lung paradoxical sign syndrome criticalcare respirations trauma causes
Causes of False Elevation and Reduction in HbA1c == False Elevation == Decreased RBC turnover • Iron, B-12,
and Reduction in HbA1c ... Elevation == Decreased ... Elevation #Reduction #HbA1c ... #HgbA1c #Laboratory ... #Increase #Decrease
Medications for High-Altitude Sickness Acetazolarnide • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Dexamethasone • Decrease ... vasogenic edema • Decrease ... Nifedipine • Decreases ... pulmonary arterial
Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
Both can decrease ... larger VT and decreases ... In CHF, decreases ... In COPD, decreases ... exacerbation (cardiogenic pulmonary
Auto-PEEP What is Auto-PEEP? • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
barotrauma and decreased ... • Decrease airway ... I:E ratio, decrease ... RR) • Decrease ... AutoPEEP #PEEP #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Diagnosis Framework DECREASED ... • Low PATM Can decrease ... • Rising PaCO2 decreases ... lung diseases, pulmonary ... asthma, COPD, pulmonary
Hoover's sign on Physical Exam Paradoxical retraction of the lower intercostal spaces on inspiration Pulmonary hyperinflation → flattening
on inspiration Pulmonary ... flattened diaphragm decreases ... PhysicalExam #Clinical #Video ... #Respiratory #pulmonary
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 Capnography Waveforms Sudden loss of waveform • ET tube disconnected, dislodged, kinked or obstructec • Loss of
10mmHg Sudden increase ... Hyperventilation Decreased ... #EndTidalCO2 #pulmonary
Pulmonary Function Testing: Flow Volume Loop Patterns • Variable extra-thoracic obstruction - truncated or flattened inspiratory
Pulmonary Function ... expiratory flows and an increase ... expiratory flow with decreased ... FlowVolume #Loops #pulmonary
Echocardiographic Findings of Acute Right Ventricular Strain - Increased RV:LV Size Ratio - Abnormal Septal Motion
Regurgitation - Elevated Pulmonary ... Systolic Pressure - Decreased ... TAPSE - Decreased ... Speckle Tracking: Decreased
ECMO circuit chatter - rhythmic pulsations in the drainage catheter/tubing leading to the pump CHATTER occurs when
of CHATTER: - decrease ... reposition to increase ... chatter #clinical #video
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