19 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... by CXR, so use CT ... identify also pulmonary ... #Chest #Breathing
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... by CXR, so use CT ... identify also pulmonary ... #Chest #Breathing
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
is often a sign ... It causes the chest ... DDx includes flail ... chest and diaphragm ... clinical #video #pulmonary
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 ... UnremarkableLab #AA ... Hypoxia #hypoxemia #differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Blood: diffuse alveolar ... 12 / shallow breathing ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... chest, kyphoscoliosis
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... neuromuscular disease, ↓ chest ... Cardiac, Vascular, Alveolar ... Diagnosis #Algorithm #pulmonary ... #Aa #Gradient
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... chest, pulmonary ... air leak after chest ... pattern in the chest ... NG tube in the chest
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Parenchyma: ILD • Alveoli ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Tamponade • Flail ... Chest The Hidden ... • Pulmonary Contusions ... Blunt Cardiac Injury ... management #injuries #differential
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
Chest Trauma Complications ... Aortic Rupture* Chest ... Fractures • Flail ... Chest* • Diaphragm ... Hemothorax #Chest