25 results
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
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
The diagnosis ... of exposure to respiratory ... of the type and pattern ... of respiratory ... #Diagnosis #Management
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 ... Ludwig's angina Trauma ... • Recurrent respiratory ... #causes #pulmonary ... #airway #physicalexam
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... Chest #Breathing #Pattern ... #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... deformity (facial trauma ... #criticalcare #management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumothorax, COPD ... RR < 12 / shallow ... #differential #Diagnosis ... #rapid #pulmonary
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