13 results
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Thoracic Trauma ... and Hidden 6 of Thoracic ... Pneumothorax • Airway ... Esophageal Injury • Pulmonary ... Trauma #diagnosis #management
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
collapsed distal airways ... alveoli as seen in pulmonary ... caused by extra-thoracic ... Lung #Findings #Pulmonary ... #PhysicalExam #
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
), Cardiogenic pulmonary ... Inability to protect airway ... Recent head/neck surgery ... Ventilation #diagnosis #management ... #indications #pulmonary
Treatment of Obstructive Sleep Apnea
Positive airway pressure therapy
   → Positive pharyngeal transmural pressure
Apnea Positive airway ... Stabilizes upper airway ... surgery → Most ... SleepApnea #Treatment #management ... #pulmonary
Increased Airway Pressure - Guidelines for Crises in Anaesthesia

Using these steps from start to end should
delivery • Pause surgery ... • Consider surgery ... If laparoscopic surgery ... o Aspiration, pulmonary ... Checklist #Diagnosis #Management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
Inspiratory Positive Airway ... exacerbation (cardiogenic pulmonary ... facial trauma, surgery ... intrathoracic procedure/surgery ... #criticalcare #management
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Intrathoracic: Thoracic ... diagnosis #causes #pulmonary ... #airway #physicalexam
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
of a difficult airway ... murmur 3/6) - Pulmonary ... - Oral cavity/Airway ... upper abdominal/thoracic ... medical and surgical management
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... negative intra-thoracic ... positive intra-thoracic ... in some cases surgery ... Necessitans #EN #Chest #PhysicalExam
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Before antireflux surgery ... Treatment - Antireflux surgery ... Disease #diagnosis #management ... #Gastroenterology