18 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD ... Aspiration - unable to clear
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Nasal Modes: • CPAP ... a.k.a BiLevel, BiPAP ... #indications #pulmonary
Key features on examination in COPD (Chronic obstructive pulmonary disease)

#Diagnosis #PhysicalExam #COPD #Manifestations #Features #Diagram
examination in COPD ... Chronic obstructive pulmonary ... #Diagnosis #PhysicalExam ... #COPD #Manifestations
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Respiratory Failure • COPD ... Settings • CHF / Pulmonary ... Edema → NiPPV CPAP
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... trachea #neck #physicalexam ... #pulmonary #respiratory
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... Hoovers #Sign #PhysicalExam ... clinical #video #pulmonary ... #COPD #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... clinical #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... COPD, and more specifically ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam
Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
disease in advanced COPD ... rare, with scant clear ... #COPD #Patterns ... #BlueBloater #Pulmonary