Notes in 04. Pneumo, PE, Pleural Effusion, ARDS

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Status	Last Update	Fields
Published	06/26/2023	pneumothorax definition → air trapped in {{c1::pleural space}}4 types spontaneous → primary and secondary traumatic tension&n…
Published	06/26/2023	primary sponteanous PTX defintion → pathophys etiology question stem → young and thin {{c1::male}}, +/- smoking hx occurs in …
Published	06/26/2023	secondary sponteanous PTX definition → pathophys etiology and risk factors any underlying {{c1::pulm}} dz COPD/blebs Lung can…
Published	06/26/2023	traumatic PTX definition/pathophys etiology and risk factors {{c1::Fall}}CPRcar wreck bar fight complication of procedure/mec…
Published	06/26/2023	PTX clinical presentation CC → {{c1::SHOB}}, pleuritic chest pain objective data tachycardia and hypoxia diagnosis …
Published	06/26/2023	PTX → treatment and prognosis treatment release {{c1::trapped air}}pigtail chest tube → seldinger technique large bore / surgical …
Published	06/26/2023	tension PTX definition/pathophys hypotension = {{c1::unstable}}will also be {{c1::tachycardia, hypoxic}}buzz word → one way {…
Published	06/26/2023	pleural effusion definition → A buildup of fluid between the tissues that line the lungs and the chest fluid in pleural space2 types determi…
Published	06/26/2023	pleural effusion transudative occurs in absence of {{c1::pleural dz}}think {{c1::volume overload}}CHF, cirrhosis, renal failure&nb…
Published	06/26/2023	pleural effusion → clinical presentation complaints {{c1::SHOB}} and {{c1::pleuritic}} chest pain questions to ask to differentiat…
Published	06/26/2023	pleural effusion → diagnostic criteria to obtain {{c1::CXR}} CBC, chem 14 pleural fluid sample cell count and cytology gram s…
Published	06/26/2023	pleural effusion's fluid vs thoracentesis fluid color → {{c1::clear, yellow}}amount → {{c1::purulent}}possible → {{c1::bloody}}mil…
Published	06/26/2023	pleural effusion → more exudative types {{c1::hemo}}thorax{{c1::chylo}}thoraxempyema malignant
Published	06/26/2023	pleural effusion → confirmation confirm diagnosis of presence w/ {{c1::CXR}} or {{c1::CT scan}}pleural effusion vs complete atelectasis…
Published	06/26/2023	pleural effusion → treatment can be underlying condition and wait abx - 6 weeks for {{c1::empyema}}+/- fibrinolytics Lasix → CHF t…
Published	06/26/2023	pleural effusion → complications {{c1::pneumothorax}}reexpansion pulmonary edema ex vacuo persistent infection video-assisted thor…
Published	06/26/2023	pleural effusion and PTX on US
Published	06/26/2023	pulmonary embolism definition → blood clot in the {{c1::pulmonary arteries}}also known as VTE → embolus is a traveling thrombus etiolog…
Published	06/26/2023	pulmonary embolism other buzz words {{c1::female smoker}} on {{c1::contraception}}pregnancy DVT → unilateral erythematous, edemato…
Published	06/26/2023	pumonary embolism → clinical presentation {{c1::SHOB}} Chest pain may have unilateral LEE diagnostic data tachycarida hy…
Published	06/26/2023	pulmonary embolism → diagnosis officially made with {{c1::CT chest w/ contrast}}, PE protocol other studies venous duplex LEs&nbsp…
Published	06/26/2023	Pulmonary embolism not existent in real life, but could be on PANCE VQ scan Elevated DDimer supports diagnosis; if negative, effectivel…
Published	06/26/2023	S1Q3T3
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Published	06/26/2023	Pumonary embolism → treatment thrombolytics? Thrombectomy? Anticoagulation {{c1::Heparin}} infusion/drip transition to {…
Published	06/26/2023	ARDS definition → diffuse inflammation of the lung resulting in {{c1::proteinaceous fluid buildup}}/pulmonary edema and respiratory failure …
Published	06/26/2023	ARDS → presenation refractory hypoxia, hypoxemia {{c1::frothy pink/red}} sputum, diffuse {{c1::crackles}}typically in multiorgan failur…
Published	06/26/2023	ARDS → PE findings refractory hypoxia/hypoxemia {{c1::Pink frothy sputum}}+/- fever No peripheral edemadiffuse crackles / diminished br…
Published	06/26/2023	ARDS → diagnostic data ABG → hypoxemia → {{c1::respiratory acidosis}}PaO2/FiO2 <{{c1::300}}CXR
Published	06/26/2023	ARDS → treatment increase PEEP, FiO2, ARDS net protocol almost always needs {{c1::mechanical intervention}}inhaled nitric oxide → pulm vasod…
Published	06/26/2023	ARDS graphic
Published	06/26/2023	ARDS Phases and Xray
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