26 results
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Paradoxical Breathing in Flail ... separating a segment, so ... Pattern #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... intubation due to incr WOB ... Pattern #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Diagnosis Framework ... Hepatopulmonary syndrome ... - Obesity - Flail ... Pain #dyspnea #sob
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... missed by CXR, so ... #PhysicalExam #
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... The video shows ... a flail chest, initially ... missed by CXR, so ... #PhysicalExam #
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Stable Angina • Acute ... Coronary Syndrome ... Thickening/Masses Chest
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Differential Diagnosis ... polyangiitis (EGPA, Churg-Strauss ... • Idiopathic: Acute ... #Differential # ... Diagnosis #causes
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Wall Elasticity (flail ... chest) • Low ... Hypoxia #hypoxemia #differential ... #diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Diagnosis for Pulmonary ... high resolution chest ... , biopsy By Tess ... #differential # ... diagnosis #nephrology
Chest Trauma Complications - Differential Diagnosis Algorithm
Cardiac:
 • Cardiac Tamponade*
 • Pericarditis
 • Myocardial Contusion
 •
- Differential ... Diagnosis Algorithm ... Contusion • Acute ... Fractures • Flail ... Injury Lung: • Pulmonary