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Winged Scapula on Physical Exam

Caused by injury to the long thoracic nerve

#Winged #Scapula #PhysicalExam #clinical #video
Physical Exam Caused ... by injury to the ... clinical #video #neurology ... #msk
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
maintained fever CAUSES ... Phaeochromocytoma Neurologic ... Traumatic brain injury ... #Differential #Causes ... Checklist #Diagnosis #Management
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... FiO2: 40 - 60% Device ... ~40% Venturi Mask ... respiratory #support #devices ... #management #pulmonary
Oxygen Delivery Methods
 • Nasal Cannula
 • Nonrebreather Mask
 • Non-Invasive Ventilation (CPAP/BiPAP)
 • Venturi Mask
Nonrebreather Mask ... BiPAP) • Venturi Mask ... Delivery #Methods #devices ... #respiratory #pulmonary ... #management
Oxygen Delivery by Device

Nasal Cannula 
• Indicated for low-flow, low-percentage supplemental oxygen. 
• Flow rate of
Oxygen Delivery by Device ... • Uses either ... Delivery #FiO2 #Pulmonary ... #Equipment #Devices ... #Management
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
• Myocarditis Pulmonary ... Vascular • Pulmonary ... present) • Pulmonary ... • Muscular Injury ... • Trauma - Neurologic
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
respiratory drive due to neurologic ... injury or sedatives ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... shunting (eg, pulmonary
CPAP Troubleshooting Tips
1. Wrong size/style mask → try a different mask, nasal pillows
2. Trouble getting used
forced air → use device ... Unintentionally removing device ... check air filter, device ... Troubleshooting #Tips #management ... #problems #pulmonary
Extrapulmonary manifestations of COVID-19
 • Neurologic: Headaches, Dizziness, Encephalopathy, Guillain-Barré, Ageusia, Myalgia, Anosmia, Stroke
 • Renal:
of COVID-19 • Neurologic ... : Acute kidney injury ... Gastrointestinal: Diarrhea, Nausea ... vein thrombosis, Pulmonary ... ischemia, Acute cor pulmonale
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Devices Simple ... Mask: • Flow ... uses a small valve ... Oxygen #Delivery #Devices ... #management #pulmonary