25 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... 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
Descent #Sign #clinical ... #video #physicalexam ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
consider infarction, hypoxia ... hyperventilation syndrome—a ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... of Respiratory ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... #Hypoxia #hypoxemia
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... #Video #Clinical ... #Breathing #Paradoxical ... #Respiratory
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Interstitial lung diseases ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... hepatopulmonary syndrome ... #Failure #hypoxia
Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
positional dyspnea and hypoxemia ... #PhysicalExam # ... clinical #video ... #breathing #respiratory ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
neuromuscular disease ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... hair) • Risk Of Clinical ... #criticalcare #management
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
movement Typical management ... #Flail #Chest #Breathing ... Trauma #Video #Clinical ... #PhysicalExam # ... Pulmonary #Respiratory
Accessory Muscle Use in COPD - Physical Exam

In the this patient with COPD, we see the
Muscle Use in COPD ... this patient with COPD ... #breathing #respiratory ... #pulmonary #clinical ... #video #PhysicalExam