11 results
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Sighing Respiration ... hyperventilation syndrome—a ... In lung disease ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Diagnosis Framework NCPE ... Causes include: ... Acute respiratory distress ... syndrome (ARDS) ... Transfusion-related acute lung
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory Distress ... SyndromeARDS ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
plural effusion - Reduced ... pleura in severe cases ... Acute Respiratory Distress ... Syndrome (ARDS) ... lung sliding Pulmonary
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... • Medication-induced ... • Idiopathic pulmonary ... Churg Strauss syndrome ... #causes
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Acute Respiratory Distress ... Syndrome JAMA ... moderate to severe ARDS ... increased 28-day all-cause ... Postoperative #Pulmonary
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Edema (NCPE) - ... blood cells in the lung ... respiratory failure or ARDS ... and/or agonal respirations ... differential #diagnosis #NCPE
Streptococcal Toxic Shock Syndrome (STSS)
Complication of invasive GAS disease characterized by shock & MOF → occurs
Streptococcal Toxic Shock Syndrome ... inflammatory cytokines induced ... GAS in 30% of cases ... kidneys, liver, lung ... /ARDS, coagulopathy
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
Amiodarone Induced ... Lung Toxicity Summary ... organizing pneumonia, ARDS ... acute respiratory distress ... syndrome) is rare
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
• Locked-in syndrome ... ventilation and observe breathing ... Brainstem reflexes • Respiration ... Casey Albin MD @ ... caseyalbin #PhysicalExam