An error occoured at http://www.prep4usmle.com/comments.php?rewritten=1&id=16136 on 2008-12-03 06:22:56. Please relay this data to support. Error #2: 'mysqli_num_rows() expects parameter 1 to be mysqli_result, boolean given' in /home/prep4usm/public_html/databases/mysqli.php on line 42. Debug info:
file`,`caneditalllinks`,`caneditallcategories`,`caneditallcomments`,`caneditallprofiles`,`candownloadfiles`,`canupload`,`canviewip`,`limitlinks`,`canemailmembers`,`canusehtml`,`limitlinksdaily`,`canalias`,`candeleteown`,`candeleteall`,`candofulledit`,`candeletecategories`,`candeletecomments`,`candeleteowncategories`,`candeleteowncomments`,`candeletemembers`,`candeleteownmembers`,`canaliascategories`,`canviewpages`,`caneditvotes`,`numaliases`,`canviewvotes`,`canhideownlinks`,`canhideowncategories`,`canhideowncomments`,`canhidealllinks`,`canhideallcategories`,`canhideallcomments`,`canratecomments`,`bytespermem`,`canpm`,`canim`,`canharddelete`,`limitpms`,`limitpmsdaily`,`canviewdeleted`,`cansubmitpolls`,`candeletepolls`,`candeleteownpolls`,`caneditpolls`,`caneditownpolls`,`attachperpost`,`attachperpm`,`canviewshouts`,`caneditshouts`,`caneditownshouts`,`candeleteshouts`,`candeleteownshouts`,`cansubmitshouts`,`canpollvote`,`customtitle`,`canviewinvisible`,`namestyle`,`canpmimportant`,`canviewmodlog`,`isleader`,`cansubmitquotes`,`validatequotes`,`candeletequotes`,`candeleteownquotes`,`canreport`,`canusesearch`,`validateattachments`,`caneditownquotes`,`caneditallquotes`,`canviewchat`,`caneditownevents`,`caneditallevents`,`candeleteownevents`,`candeleteevents`,`cansubmitevents`,`validateevents`,`bulkpms`,`issupermod`,`cansuggestban`,`shoutsperday`,`cancopy`,`attachperlink`,`numinv`,`allowugspec`,`validateemails`,`validatesponsorlinks`,`cansubmittags`,`candeletetags`,`cansubmitfeeds`,`validatefeeds`,`validatefeeditems`,`numaliasestot`,`validatetrader`,`renewdays`,`renewtimes`,`canviewownfulltrc`,`canviewallfulltrc` FROM wsnforum_membergroups

Load time so far: 0.06 seconds.

Query 5: SELECT `id`,`to`,`subject`,`message`,`headers`,`replacement`,`mime` FROM wsnforum_email WHERE timesent=0 AND inprogress=0 ORDER BY id ASC LIMIT 0,10

Load time so far: 0.08 seconds.

Unknown column 'inprogress' in 'where clause'

Breathing Patterns
Prep for USMLEPrep for USMLE Forum
   Forum    Step 1  Step 2 CK Step 2 CS Step 3  Match  IMGs Resources Search






Previous Topic | Next Topic  Breathing Patterns 




 



Author8 Posts
  #1

distinguish between the following patterns of breathing and name at least one condition where they can present.

- Kussmaul
- Biot's
- Hysterical
- apneustic
- cheyne stoke

  #2

Kussmaul - diabetic ketoacidosis

apneustic - high altitude??

cheyne stoke -chronic heart failure??

___________________
life is guud

  #3

you've got the kussmaul right. I'm not sure whether CHF can cause cheyne stoke breathing pattern. I only know it happens when central respiratory mechanism don't function properly.

  #4

yeah u got tht rite .....tht leads to delayed negative feedback response....

i am guessing CHF ledas to slow perfusion :arrow: of brain stem....

any explanation?

___________________
life is guud

  #5

well I can see your logic, but as you know cheyne stoke has a cyclical pattern with a period of increased tidal volume followed by apnea. if low perfusion was to have caused this then what would be cause of its cyclical pattern?

  #6

look the basis of this defect in cyclical pattern is redued negative feedback effect

reduced flow becoz of CHF will also delay the monitoring of atreial PO2 and the subsequent regulatory maneuver played by brain ...slow update of brain.....

wht do u comment?

___________________
life is guud

  #7

Biot's irregular apnea, seen in increase intracranial pressure


How about the two others ?

  #8

Cheyne stoke----> cyclical changes in tidal volume. the tidal volume first increases and then decreases to the point of apnea.

Apneustic-----> is seen after head trauma and is characterised by inspiratory breath holding that lasts many seconds, followed by brief exhalations.

Biot's------> is seen in some patients with CNS disease (e.g. menengitis). it consists of periods of normal breathing interrupted suddenly by periods of apnea.

Hysterical-----> may produce hyperventilation, i.e. rapid, intense breathing that causes the PaCO2 to decrease.

Kussmaul-----> occurs in Diabetic coma or ketoacidosis and consists of continuous, rapid, deep breathing.







You don't have permission to post.




Login or Register to post messages in this topic





















Contact | Leaders | Disclaimer | Privacy

Copyright @ Prep for USMLE. All rights reserved.