21 results
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... after 3 or more ribs ... #Breathing #respiratory ... clinical #video #Pulmonary
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
- Paradoxical Breathing ... in Flail Chest ... multiple adjacent ribs ... #Chest #Breathing ... #PhysicalExam #Pulmonary
Flail Chest on Physical Exam
Flail chest occurs when 3 or more ribs are broken in at
Flail Chest on Physical ... Exam Flail chest ... when 3 or more ribs ... #Breathing #respiratory ... clinical #video #Pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... identify also pulmonary ... #Chest #Breathing ... video #trauma #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... chest, initially ... identify also pulmonary ... #Chest #Breathing ... video #trauma #pulmonary
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pneumothorax, pulmonary ... more places - Flail ... chest, pulmonary ... vessel injury, pulmonary ... chestxray #trauma #diagnosis
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Hepatopulmonary syndrome ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
12 / shallow breathing ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... chest, kyphoscoliosis ... #differential #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Weakness, Loss of Chest ... Wall Elasticity (flail ... chest) • Low ... #differential #diagnosis
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
- Differential Diagnosis ... Wall: • Rib Fractures ... • Flail Chest ... Injury Lung: • Pulmonary ... #Differential #Diagnosis