14 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... by CXR, so use CT ... rob_cosentini #Flail #Chest
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... by CXR, so use CT ... rob_cosentini #Flail #Chest
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... Ratios Barrel Chest ... 1.5 Pursed Lip Breathing ... Hyperresonance of chest ... #pulmonary
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Differential Diagnosis ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT CXR, CTA Chest ... Management #treatment #criticalcare
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Presentation and Diagnosis ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... , Pursed lip breathing ... #pulmonary
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... Abscess - Physical Exam ... level seen • Chest ... CT Lung Abscess ... treatment until the chest
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
consistent with pulmonary ... be present on a chest ... computed tomographic (CT ... Definition #Criteria #Diagnosis ... #CriticalCare
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
TTE +/- TEE) • Chest ... CT scan, if suspect ... endocarditis w/ septic pulmonary ... Endocarditis #checklist #criticalcare ... #diagnosis #management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... parenchyma Diagnosis ... high-resolution chest ... CT) • Broncho-arterial ... #differential #diagnosis
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
may aid in the diagnosis ... of pulmonary embolism ... confirmed with chest ... CT angiography. ... EmergencyMedicine #CriticalCare