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Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Breathing #Respiratory #Distress #clinical
Examination - Acute ... Respiratory Distress ... #Respiratory #Distress ... #physicalexam # ... Pulmonary
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... leading to increased pulmonary ... consistent with pulmonary ... there is no clear cause ... the underlying cause
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Respiratory Distress ... Syndrome JAMA ... increased 28-day all-cause ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Respiratory Distress ... Syndrome (ARDS) ... lobar collapse, lung ... #Distress #Syndrome
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... the severity Acute ... Respiratory Distress ... Syndrome (ARDS)
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Disease • Acute ... Respiratory Distress ... Syndrome ... • Chronic Lung Infection
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
Causes include: ... • A lack of acute ... respiratory distress ... syndrome (ARDS) ... lung injury (TRALI
Amiodarone Induced Lung Toxicity Summary

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

How?  Possible
organizing pneumonia, ARDS ... toxicity (e.g., acute ... respiratory distress ... syndrome) is rare ... Exclude other causes
Acute interstitial pneumonia (AIP, earlier named Hamman Rich Pneumonitis) is a rare idiopathic lung disease characterized
Acute interstitial ... rare idiopathic lung ... indistinguishable from acute ... respiratory distress ... syndrome (ARDS)