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

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern
Chest #Breathing #Pattern ... #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Trauma - Paradoxical ... Chest #Breathing #Pattern ... #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... Ludwig's angina Trauma ... #causes #pulmonary ... #airway #physicalexam
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Chest #Breathing #Pattern ... #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... Breathing Patterns ... ) #Breathing #Patterns ... #Respiratory #pulmonary ... #diagnosis #comparison
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
may show this pattern ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... • Tachypnea: Respiratory ... rate > 20/min, shallow ... • Hyperpnea: Respiratory ... • Asthma • COPD
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... 70%, Scooped out expiratory ... curve, Low peak expiratory ... #comparison #Diagnosis ... #pulmonary
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT Patterns ... - Differential Diagnosis ... Hypersensitivity Pneumonitis, Respiratory ... Sarcoidosis, NSIP, COP ... #pulmonary #radiology