15 results
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Pt pain free X 36 ... #Chest #Breathing ... Pattern #Trauma #Video ... #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
URQ abdominal pain ... tachypnoeic (see video ... #Respirations #Clinical ... #Video #PhysicalExam ... #Pulmonary #Respiratory
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Hepatopulmonary syndrome ... - Obesity - Flail ... Additional: - Acidosis ... Deconditioning - Pain
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
pleuritic chest pain ... and metabolic acidosis ... hyperventilation syndrome—a ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Ischemia, Compartment Syndrome ... Demand: Stress / Pain ... Beta-Agonists, ↑ work of breathing ... in Short Bowel Syndrome
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... D-lactate (short bowel syndrome ... Hyperventilation (Anxiety, pain ... Classically” noted with pulmonary ... Interpretation #Diagnosis
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... patient with a diagnosis ... #PhysicalExam #clinical ... #video #breathing ... #respiratory #pulmonary
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
and Spontaneous Breathing ... will vary with clinical ... Propofol infusion syndrome ... (PRIS) - acidosis ... #CriticalCare #diagnosis
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
- Differential Diagnosis ... Framework and Clinical ... HF • Moderate pulmonary ... seen • Lactic acidosis ... reflexes - Burning pain
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... disease (panuveitis, retinal ... (Clinical Dx). ... inhibitors • Uveitis- Ophthalmology ... Nonsurgical abdominal pain