84 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
pneumonia • Water: pulmonary ... pneumothorax, COPD ... asthma • Pleural disease ... 12 / shallow breathing ... Hypoventilation: • CNS
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
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... pHTN, Advanced COPD ... Shock • Airway Disease ... : Asthma, COPD, ... #hypoxia #Differential
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Mismatch • Airway Disease ... (Asthma, COPD) ... • Parenchymal Disease ... • Pulmonary Arterial
Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Breathing #Respiratory #Distress #clinical
Paradoxical Breathing ... #Paradoxical #Breathing ... #Respiratory #Distress ... clinical #video #physicalexam ... #Pulmonary
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Diagnosis Algorithm Pulmonary ... and/or Hypoxemia ... : • COPD • Interstitial ... Sleep-Disordered Breathing
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Hypoventilation: CNS ... neuromuscular disease ... #Hypoxia #Differential ... Diagnosis #Algorithm #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
restrictive lung disease ... consider infarction, hypoxia ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LRs #diagnosis #pulmonary
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 ... Failure #management #hypoxia