How to Workup Inpatient Shortness of Breath 

In this talk, we review the crucial role of portable chest X-rays (CXRs) in managing inpatients experiencing respiratory distress, and how CXRs are a valuable diagnostic tool for narrowing down the differential diagnosis. We emphasize how CXRs complement other diagnostic exams, outline their capabilities and limitations in the inpatient setting, and review key imaging features indicative of common causes of inpatient respiratory distress. Our talk concludes by highlighting additional diagnostic tests like EKG and ABG and outlining potential interventions based on the identified causes of respiratory distress.
Some of the case images in this talk appear courtesy of Ahmed El-Sherief, MD.
Chapters:
00:00 - Introduction
00:55 - Supplemental Oxygen
01:24 - 8 Most Common Causes
02:23 - A Focused Physical Exam
04:44 - CXR Findings: Asthma Exacerbation
05:51 - CXR Findings: COPD
07:03 - CXR Findings: Mucus Plugging
08:36 - CXR Findings: Pneumothorax
09:33 - CXR Findings: Pleural Fluid
12:02 - CXR Findings: Pulmonary Edema
14:25 - CXR Findings: Pneumonia
15:00 - CXR Findings: Pulmonary Embolus
16:10 - CXR Findings: Hypoventilation
16:30 - EKGs & ABGs
17:26 - Common Management Options
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