15 results
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
HFNC Inward chest ... #Pediatrics #Peds ... #clinical #Video ... #Pulmonary #PhysicalExam ... #Pattern #Croup
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
out the paradoxical ... Typical management ... #Breathing #Pattern ... #PhysicalExam # ... Pulmonary #Respiratory
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Trauma - Paradoxical ... #Breathing #Pattern ... Trauma #Video #Clinical ... #PhysicalExam # ... Pulmonary #Respiratory
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... #Breathing #PhysicalExam ... #respiratory #clinical ... #video #pulmonary ... #peds #pediatrics
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern ... - Chest Radiology ... #Chest #Radiology ... #pulmonary #CXR ... #clinical #CT
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... regurgitation) Diagnosis ... not specific • Chest ... mosaic parenchymal pattern ... #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Other tests: • CT chest ... typically seen on chest ... blood retum in serial ... • IF staining patterns ... #management #treatment
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Noncardiac: • Pulmonary ... early Afib and pts ... Fibrillation #AFib #diagnosis ... #management #cardiology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... Household exposure - Pet ... failure • Severe pulmonary ... Epidemiologic exposure + clinical ... #treatment #management
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
cultures (three sets ... TTE +/- TEE) • Chest ... endocarditis w/ septic pulmonary ... #criticalcare #diagnosis ... #management