ARDS, Respiratory Trauma, Pulmonary HTN

Question 1

pressures in the pulm circulation greater than 25 (normal 4-12)

Answer 1

pulm HTN

Question 2

abdominal contents herniate through diaphragm into the chest compressing contents of thorax

bowel sounds in middle to lower chest, lower chest, abdominal or epigastric pain that radiates to the l shoulder, dyspnea, decreased breath sounds on affected side, heart sounds shifted to r side of chest, signs of obstructive shock, dysphagia

Answer 2

ruptured diaphragm

Question 3

rapid onset of general symptoms over 48 hrs

chest X-ray shows pulm infiltrates w normal cardiac silhouette

lungs become stiff and fibrotic

pulm edema causing increased capillary permeability (caused by sepsis, pancreatitis, drowning, aspiration, PNA, trauma, inhalation injuries)

Answer 3

resp distress syndrome