17 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... missed by non-trauma ... team. 1. ... #PhysicalExam # ... #pulmonary
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... missed by non-trauma ... team. 1. ... #PhysicalExam # ... #pulmonary
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
tuberculosis infections/year ... • HIV: 2/3 pulmonary ... Tuberculosis Diagnosis ... Tuberculin skin test ... #Diagnosis #Management
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... #Flail #Chest #Breathing ... #Pattern #Trauma ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
tuberculosis infections/year ... • HIV: 2/3 pulmonary ... Tuberculosis Diagnosis ... Tuberculin skin test ... #Diagnosis #Management
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
- Differential Diagnosis ... Bronchiectasis, Trauma ... PNA, Abscess, TB ... Primary Vascular: Pulmonary ... #Management #pulmonary
Tuberculosis Testing

LATENT TB
• LTBI is diagnosed when an asymptomatic patient has a positive TST or IGRA
Testing LATENT TB ... • LTBI is diagnosed ... and treating LTBI ... IGRA/QuantiFERON-TB ... used to exclude pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Infection: TB ... parenchyma Diagnosis ... function tests: ... the airway • Treating ... #differential #diagnosis
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... If ok with ICU team ... ventilation and observe breathing ... caseyalbin #PhysicalExam ... neurology #comatose #diagnosis
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
(+) screening test ... regardless of screening test ... and molecular diagnostic ... tests, empiric ... Prevention #Treatment #management