10 results
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 ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
pneumothorax, COPD ... asthma • Pleural disease ... 12 / shallow breathing ... Hypoventilation: • CNS ... #differential #Diagnosis
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
restrictive lung disease ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Pseudo-hemoptysis = upper respiratory ... Saline (50 Cc Ns ... #Management #treatment ... #workup #pulmonary ... #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Medications, Spinal Cord ... , Severe Valve Disease ... • Obstructive: Pulmonary ... #criticalcare #
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Connective tissue diseases ... obstruction • COPD ... , in advanced disease ... parenchyma Diagnosis ... mycobacteria Treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
presents with acute respiratory ... extrapulmonary disease ... or meningitic disease ... especially the CNS ... MC: CNS CSF: •
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... Classically” noted with pulmonary ... acidosis: - CNS ... restrictive lung disease ... (COPD, OSA, Asthma
Coccidioidomycosis (Coccidioides): Valley Fever - Summary Sheet
 • Morphology
 • Geography, Reservoir and Mode of Transmission
self-limiting respiratory ... tissue, skeleton, CNS ... meninges and spinal cord ... prostate • Diagnosis ... disease: no treatment
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
Resuscitation & respiratory ... suspected Adiunctive treatments ... COPD/asthma or adrenal ... lab-confirmed influenza, pulmonary ... Checklist #Management #CriticalCare