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A serious case of Flail chest. This is a medical emergency!

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern
A serious case of ... Flail chest. ... Pattern #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Parenchyma: ILD • Alveoli ... Hepatopulmonary syndrome ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Stable Angina • Acute ... Coronary Syndrome ... Chest Wall Abnormalities ... Alveoli • Pneumonia ... • ARDS • COPD
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... Cheat Sheet ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
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 ... : Atelectasis, ARDS
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... DDx includes flail ... Paradoxical #Breathing #PhysicalExam ... respiratory #clinical #video ... #pulmonary #peds
Effect of Lung Recruitment and Titrated Positive End-Expiratory Pressure (PEEP) vs Low PEEP on Mortality in
Patients With Acute ... Syndrome JAMA ... increased 28-day all-cause ... Wilkinsonjonny #ART #Alveolar ... Postoperative #Pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Syndrome (ARDS) ... consistent with pulmonary ... be present on a chest ... #Distress #Syndrome
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • A lack of acute ... Etiology: • Acute ... respiratory distress ... syndrome (ARDS)
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)