37 results
Paradoxical Respirations in Acute Respiratory Failure on Physical Exam

- Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Respirations #Breathing #Respiratory
Paradoxical Respirations ... in Acute Respiratory ... Failure on Physical ... #clinical #video ... #Pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... flow-volume curve, Low peak ... of right heart failure ... #comparison #Diagnosis ... #pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Failure - Differential ... Diagnosis Framework ... PATM 760 mm Hg at sea ... Pneumonia, asthma, COPD ... #Differential #Diagnosis
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... following cardiac arrest ... and Dry) • Pulmonary ... vascular → RV failure ... Classification #Types #diagnosis
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
multisystem organ failure ... following cardiac arrest ... from massive pulmonary ... embolism or severe pulmonary ... Classification #types #diagnosis
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Myocardium: - Heart failure ... - Asthma - COPD ... Vasculature: - PE ... #differential #diagnosis
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
- Differential Diagnosis ... associated with inspiratory ... bronchi: - Asthma/COPD ... , Edema- heart failure ... #Framework #pulmonary
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
• Left heart failure ... hypoxemia • COPD ... chronic renal failure ... right ventricular failure ... Classification #diagnosis
Hyponatremia - Differential Diagnosis by Mechanism
Decr Blood Pressure (“Decr Effective Circulating Volume”) 
 - Volume depletion
- Differential Diagnosis ... depletion - Heart failure ... hemorrhage) - Pulmonary ... e.g. pneumonia, COPD ... potomania - “Tea
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Other causes of respiratory ... failure, DNI status ... #Ventilation #diagnosis