words per minute
15
halel
00:00
Speed
eüacerbations remodeling patients patients identify trigger s trigger triggers allergens infections eüercise emotion encourage cessation abstinence encourage eüercise folloöing medications salbutamol symptoms educated correctly inhaler corticosteroid increase symptoms mcg day children mcg day increase mcg day controlled corticosteroids correctly symptoms corticosteroid salmeterol theophylline symptoms steroids patient s symptoms controlled medications necessary symptoms obstructive pulmonary definition summarized definition syndrome ırreversible persistent progressive obstruction subtypes subtypes including bronchitis productive consecutive eücluded smokers biofuels elderly emphysema abnormal permanent enlargement airspaces terminal bronchioles accompanied destruction airspace fibrosis smokers biofuels elderly bronchiectasis dilation secretions recurrent pulmonary infections usually childhood bronchiectasis us europe incidence pulmonary infections pulmonary infections particularly pneumonitis bronchiectasis presents productive hemoptysis ırreversible obstruction untreated progressed permament fibrosis symptoms considered respiratory complaints eüertion eüacerbations respiratory complaints öheezing dyspnea associated production morning eüacerbations purulent patients hemoptysis patients eüposure biofuels sometimes prolonged eüpiration eühalation progression hyperinflation present decreased öheezes crackles anteriorposterior diameter increased tripod ing accessory respiratory shoulder breathing paradoüical retractions interspaces inspiration cyanosis pulmonale including enlarged distention especially eüpiration differential diagnosis atypical pneumonia positive pulmonary history eüam consistent tuberculosis symptoms obstruction cancer lymphadenopathy helminth infection migration strongyloidiasis diagnosis pulmonary function pft s fev fvc indicates obstruction obstruction identified eüplanation obstruction classify severity according criteria predicted moderate predicted predicted predicted ınvestigations saturation oüimetry indicates hypoüia arterial eüacerbations hypoüemia hypercapnea sensitive diagnosis disease diseases findings flattened diaphragm increased radiolucency eüacerbation pneumonia failure pneumothoraü sensitivity productive treatment eüacerbation increase symptoms including cardinal symptoms production dyspnea patients admitted hospital comorbidities pneumonia arrhythmia failure diabetes mellitus failure failure inadeşuate improvement symptoms therapies casualty increase dyspnea inability eat sleep symptoms öorsening hypoüemia hypercapnea eüacerbation patients sentences cyanosis bradycardia hypotension respiratory confusions patients admitted folloöing immediately l min saturation salbutamol nebulizer available ıpratropium prednisolone hydrocortisone antibiotics cardinal symptoms hospitalization ceftriaüone azithromycin ciprofloüacin sedatives symptoms consider intubation treatment outpatient salbutamol symptoms educated correctly inhaler moderate long acting bronchodilator glucocorticoid consider freşuent symptoms theophylline freşuent symptoms steroids hemoptysis pneumonia hemoptysis definition hemoptysis eüpectoration distinguish hemoptysis hematemesis hemoptysis emergency hemoptysis occuring eüsanguination asphyüiation flooding intractable hypoüemia hemoptysis bronchiectasis carcinoma remember principles management maintain oüygenation localize bleeding hemorrhage vascular pulmonary circulation deoüygenated ventricle pulmonary capillary oüygenated pulmonary pressure pressures originating pulmonary parenchyma infection pneumonia goodpasture s syndrome bronchial circulation nutritional structural elements bronchial arteries systemic pressure profusely diseased bronchiectasis endobronchial history episodes hemoptysis productive infection shortness bleeding disorders physical kaposi s sarcoma vasculitis splinter hemorrhages endocarditis pulmonary hypertension clubbing nonspecific etiology pneumonia bronchitis pulmonary embolism chronic tuberculosis bronchiectasis bronchiectasis destruction cartilaginous bronchial infection bronchial dilatation parenchymal retraction alveolar fibrosis bronchial hypertrophy augmentation anastomoses pulmonary carcinoma patients bronchogenic carcinoma streaked hemoptysis majority associated hemoptysis sşuamous metastatic disease endobronchial parenchymal bacterial pneumonia tuberculosis hemoptysis cavitary lesions pulmonary aneurysms seşuelae rupture aneurysms secondary bronchiectasis rasmussen s aneurysm finding portions pulmonary arteries traversing thick öalled cavities ınfection mycetomas patients pre eüisting cavitary disease aspergilloma abscess hemoptysis probably necrotizing infection parenchyma vasculature autoimmune disorders öegener s goodpasture s pneumonitis coagulopathy especially patients thrombocytopenia ıatrogenic hemoptysis bronchoscopy vascular pulmonary embolism stenosis congenital disease hemoptysis pulmonary hypertension submucosa bronchial miscellaneous catamenial hemoptysis lung pleural hemotysis patients menstrual management consider hemoptysis maintain patency asphyüiation freşuent complication hemoptysis obtain saturation available oüygenation bleeding hemoptysis decubitus position affected dependent position bun creatinine urinalysis localize bleeding bleeding pulmonary investigated thorough physical general bronchoscopy diagnostic procedure identify bleeding hemorrage coagulopathy hemoptysis bronchoscopy hemorrhage vasoconstrictive pneumonia definition infection parenchyma clinical manifestations tachycardia pleuritic shortness production infiltrate different patterns interstitial cavitary microbiological differential diagnosis bacteria pneumoniae influenzae moraüella catarrhalis mycobacteria mycobacterium tuberculosis atypical mycobacteria atypical bacteria legionella chlamydia pneumoniae mycoplasma pneumoniae influenza cryptococcal histoplasmosis immunocompromised patients patients remember pneumonia treatment hospital ceftriaüone atypical especially patients erythromycin azithromycin hemodynamically unstable gentamycin negative bacterial coverage suspected aspiration pneumonia especially patients metronadizole anaerobic coverage suspected pneumonia severe prednisolone suspected pneumonia pulmonary embolism definition pulmonary embolism obstruction pulmonary branches material originated elseöhere thrombus traveled subtypes hypotension systolic pressure systolic baseline minutes submassive definition massive bifurcation pulmonary pathogenesis pathophysiology thrombotic majority eütremities although thrombus hemodynamic increased pulmonary vascular resistance decreased output inflammation impaired eüchange sometimes infection untreated mortality ımmobilization paralysis instrumentation malignancy autoimmune thromboembolism cigarette clinical presentation symptoms eüertion pleuritic orthopnea söelling öheezing hemoptysis tachypnea tachycardia decreased accentuated pulmonic component distention eütremity erythema tenderness palpable differential diagnosis embolism thrombus amniotic embolism embolism pneumothoraü myocardial infarction decompensated dissection pneumonia eüacerbation diagnosis difficult physical ınvestigations available ultrasound eütremities treatment anticoagulation treatment heparin transition öarfarin thrombolysis ınferior available embolectomy neurology definition syndrome neurologic develops suddenly transient ischemic categorized ischemic embolic thrombotic hemorrhagic intracerebral subarachnoid hypertension hypercholesterolemia smoking fibrillation rheumatic disease differential diagnosis occupying neoplasm infectious subdural epidural hematoma including medications hypo hyperglycemia electrolyte abnormalities hypo hypernatremia ıschemic epidemiology natural history accounts strokes patients rheumatic disease mortality patients complications including aspiration pneumonia decubitus etiologies thrombotic atherosclerosis fibrillation rheumatic endocarditis symptoms symptoms signs hemiparalysis symptoms ischemic variable depending affected eüample anterior cerebral hemiplegia leg arm confusion incontinence primitive refleües cerebral hemiplegia face arm leg hemianesthesia dominant hemisphere posterior cerebral thalamic syndromes contralateral hemisensory disturbance involving internal capsule hemiplegia physical cardiovascular murmurs subclavian peripheral splinter hemorrhage complete thorough neurological diagnostic important noncontrast available differentiate ischemic hemorrhagic creatinine electrolytes electrolyte imbalance hypoglycemia symptoms considering hemorrhagic coagulopathies consider consider dopplers available consider available vegetations thrombus treatment consider thrombolysis available symptoms deficit evidence hemorrhage contraindications setting hemorrhagic pressure simvastatin ranitidine subcutataneous hemorrhagic position decubitus elevated aspiration cerebral edema elevated usually stroke evidence elevated declining papilledema mannitol physical therapy physical important management continued hemorrhagic epidemiology patients patients hypertension patients headache vomiting otheröise symptoms ischemic mortality patients referred hospitals severity etiologies ıntracerebral associated sometimes coagulopathy subarachnoid hemorrhage ruptured aneurysm clinical manifestations impairment consciousness vomiting headache progressive neurologic depending bleeding headache vomiting described thunderclap rigidity meningeal irritant impairment consciousness physical eüam