18 results
Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy

We know that pH can vary in different locules in CPPE.
Parapneumonic Effusion (CPPE ... different locules in CPPE ... important to Rx as CPPE ... Pleural #Effusion #CPPE ... #thoracic #pulmonary
Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS
 • can be triggered by thoracenteses
Pleural Effusion (MPE ... broken during pleuroscopy ... Pleural #Effusion #MPE ... clinical #ultrasound #pulmonary
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
lidocaine, +/- pre-treatment ... then wait 3min, pre-ox ... but also reduces CPP ... expansion of bleed • CPP ... Target CPP 60.
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) Diagnosis Algorithm

Defined as pulmonary hypertension (mPAP > 25) > 6 months
Thromboembolic Pulmonary ... Defined as pulmonary ... after initial PE ... eventually get CTPE ... overt history of PE
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Disease (Asthma, COPD ... • Vascular (PE ... lung disease • Pulmonary ... Septal Defect Pulmonary ... Algorithm #Causes #Pulmonary
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... - Asthma - COPD ... Vasculature: - PE ... - Pulmonary HTN ... diagnosis #causes #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... ) Cardiogenic Pulmonary ... lung sliding COPD ... Embolism (PE): ... massive/submassive PE
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
Pulmonary Hypertension ... remodeling of pulmonary ... hypoxemia • COPD ... IV - CTEPH • Pulmonary ... chest pain, or pre-syncope
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
Alveolar filling, PE ... Bag, BS, CXR, CTPE ... diagnosis #management #pulmonary
Capnography
Measurement of exhaled carbon dioxide can be used to confirm ETT placement, for safer procedural sedation,
monitor cardiac & pulmonary ... Downsloping phase III: copd ... airway obstruction, copd ... ETCO2: arrythmia, pe ... patterns #diagnosis #pulmonary