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Duke PA Respiratory Emergencies and Airway management

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Question
Answer
show Dyspnea  
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show Oropharynx, neck, cardiac, chest exam, pulmonary, skin  
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What do you look for in the oropharynx in the setting of respiratory distress   show
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What do you look for in the neck exam in the setting of respiratory distress   show
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What do you look for in the cardiac exam in the setting of respiratory distress   show
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show Equal rise, trauma  
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What do you look for in the pulmonary exam in the setting of respiratory distress   show
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What do you look for in the skin exam in the setting of respiratory distress   show
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show Hypoxia  
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Segmental fracture of 3 or more adjacent ribs in two or more places of each individual rib, results in paradoxical respiration   show
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show Tension pneumothorax  
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Chest pain worse on breathing in, leaning forward, and on palpation   show
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show Pulmonary edema  
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show COPD  
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COPD treatment   show
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History: pleuritic chest pain, dyspnea (may be intermittent), cough, hemoptysis, anxiety. Physical findings: tachypnea, tachycardia, fever, hypotension, signs of DVT. What is it   show
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Do you get a d-dimer on patients who you have a high suspicion or low suspicion for pulmonary embolism   show
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Cornerstone of treatment for pulmonary embolism   show
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Biggest reason to perform the Sellick maneuver   show
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flail chest: indicators for early intubation include   show
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what should be done immediately for the patient with a tension pneumo   show
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show inflation of affected lung with evacuation of pleural air via a chest tube  
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who is at risk for aspiration pneumonia   show
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show drug overdose, sepsis, pulmonary contusion  
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treatment for pulmonary edema   show
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what are the two phases of asthma   show
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show a quiet chest, agitation or confusion  
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what are red flags in an asthma patient   show
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show supplemental oxygen, beta agonist (albuterol/smooth muscle relaxation), anticholinergic (atrovent/decreased mucuous production), epinephrine(if impending resp failure), steroids (treat late phase and prevent rebound)  
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show COPD  
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alveoli loose ability to stretch and thus become weak, and break resulting in inability of the lung to exchange CO2 and O2   show
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what is the treatment goal of COPD   show
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show malignancy, pregnancy, postpartum, estrogen use, genetic mutations, Pro C/S deficiency  
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risk factors for pulmonary embolism   show
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show 48  
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show pulmonary angiography  
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causes of cardiogenic pulmonary edema   show
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pulmonary edema: ancillary tests   show
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show Doppler US; CT (may miss small peripheral PE); V/Q scan; pulmonary angiography  
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show Anticoagulation (cornerstone of tx; LMWH, hep, warfarin); thrombolysis (for pts in extremes); embolectomy (rare); IVC filter (recurrent DVT/PE pt on anticoag)  
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miller laryngoscope blade   show
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show curved; Lifts valecula (indirectly lifting epiglottis)  
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ET tube sizes   show
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show Look externally; Evaluate 3-3-2; Mallampati; Obstruction; Neck mobility  
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BURP   show
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