49 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 ... initiate breath, Anatomic
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... #physicalexam #respiratory ... #pulmonary #breathing ... #Trachea #COPD
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 ... #physicalexam #pulmonary ... #respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... • Recurrent respiratory ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Highlighted boxes ... ; FEV1: forced expiratory ... #Management #Pulmonary ... #COPD #GOLD2017
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... #NonInvasive #Respiratory
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic Respiratory ... their WOB when pulmonary ... caloric cost) → pulmonary ... #Hypercapnic #Respiratory ... Failure #Phenotypes #COPD
GOLD2017 - The refined ABCD assessment tool. FEV1: forced expiratory volume in 1 s; FVC: forced vital
FEV1: forced expiratory ... Council; CAT: COPD ... #Diagnosis #Pulmonary ... #COPD #GOLD2017
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... Process - Anatomic ... pHTN, Advanced COPD ... Disease: Asthma, COPD