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Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Breathing #Respiratory #Distress #clinical
Paradoxical Breathing ... Examination - Acute ... #Paradoxical #Breathing ... #clinical #video ... #physicalexam #Pulmonary
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
Adjuvant therapies in critical care: steroids to treat infectious diseases
 - Severe Community Acquired Pneumonia
Adjuvant therapies in critical ... ventilation, ARDS acute ... respiratory distress ... syndrome, PJP Pneumocystis ... Corticosteroids #Adjuvant #InfectiousDiseases
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
ILD caused by inhalation ... pneumonia (DIP), Acute ... Churg Strauss syndrome ... Eosinophilic pneumonia: Acute ... #causes
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Distress Syndrome ... – ARDS: Clinical ... leading to increased pulmonary ... consistent with pulmonary ... RespiratoryDistress #Syndrome
Differential Diagnosis of Pulmonary Eosinophilia
Infection:
 • Helminthic: Loffler syndrome (Ascaris, hookworm, Strongyloides), Tropical pulmonary eosinophilia (lymphatic
Eosinophilia Infection ... Helminthic: Loffler syndrome ... polyangiitis (EGPA, Churg-Strauss ... • Idiopathic: Acute ... Differential #Diagnosis #causes
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)
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Most Common Causes ... • Mounier-Kuhn syndrome ... in the adjacent lung ... of the affected lung
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
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