Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Chest Needle Decompression of Tension Pneumothorax

#Chest #Needle #Decompression #Tension #Pneumothorax #clinical #video #trauma #pulmonary
of Tension Pneumothorax ... #Chest #Needle ... Decompression #Tension #Pneumothorax ... #clinical #video ... #trauma #pulmonary
β–Ί
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
- Differential Diagnosis ... flow) - Massive pulmonary ... tamponade - Tension pneumothorax ... Classification #Table ... #CriticalCare
Shock Classification and Differential Diagnosis
SHOCK
 β€’ MAP <65, SBP <90, drop in SBP > 40
 β€’
and Differential Diagnosis ... Failure, Toxins/Medications ... , CVP > 12 β€’ Pulmonary ... Embolism, Tension Pneumothorax ... #Types #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Failure, Toxins/Medications ... β€’ Obstructive: Pulmonary ... Embolism, Tension Pneumothorax ... #criticalcare #
Thoracic Trauma - Lethal 6 and Hidden 6 of Thoracic Trauma
The Lethal 6 of Thoracic Trauma:
Trauma: β€’ Tension Pneumothorax ... Obstruction β€’ Open Pneumothorax ... Tamponade β€’ Flail Chest ... Esophageal Injury β€’ Pulmonary ... Thoracic #Trauma #diagnosis
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 β€’ Poor oral intake
 β€’ Hemorrhage
 β€’ Renal loss
 β€’
Shock Differential Diagnosis ... valvulopathy β€’ Pulmonary ... obstruction β€’ Pulmonary ... pancreatitis β€’ Medication ... tamponade β€’ Tension pneumothorax
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
effusion; sometimes pneumothorax ... #Clinical #Radiology ... #HRCT #CTChest ... Pattern #Comparison #Table
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 β€’ Bova score
Pulmonary Embolism ... on scores and clinical ... Hemodynamics (Stable ... prognostication #diagnosis ... stratification #criticalcare
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
attached to the chest ... is a possible diagnosis ... airways leading to pulmonary ... #Clinical #Radiology ... #CXR #Pneumothorax
Pulmonary Tuberculosis - Patterns of Involvement
 β€’ Scarring, Nodules and Consolidation
    - Lobar
Pulmonary Tuberculosis ... level in hydro-pneumothorax ... Pal @drdevrad #Pulmonary ... #TB #Patterns #chest ... #xray #clinical