26 results
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
Kussmaul Breathing ... originates in the chest ... #Respirations #Clinical ... #PhysicalExam #Pulmonary ... #Respiratory
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... Diagnosis Framework ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... #Diagnosis #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... and metabolic acidosis ... hyperventilation syndrome—a ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Diagnosis Framework ... Hepatopulmonary syndrome ... Additional: - Acidosis ... #diagnosis #causes
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Diagnosis for Pulmonary ... , anti-CCP • CXR ... high resolution chest ... #differential # ... diagnosis #nephrology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... Diagnosis: Causes ... D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... Interpretation #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Acute Coronary Syndrome ... Thickening/Masses Chest ... • Metabolic Acidosis
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
patient with a diagnosis ... observe how the respiratory ... #PhysicalExam #clinical ... #video #breathing ... #respiratory #pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Weakness, Loss of Chest ... Elasticity (flail chest ... Hypoxia #hypoxemia #differential ... #diagnosis
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Differential Diagnosis ... Stimulation of chest ... Hemothorax, Flail chest ... distress syndrome ... #diagnosis #causes