26 results
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Hoover’s Sign on ... patient in severe COPD ... #Sign #PhysicalExam ... clinical #video #pulmonary ... #COPD #respiratory
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
Hoover's Sign ... Hoover’s sign refers ... associated with COPD ... #Hoovers #Sign # ... Pulmonary #COPD
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
Hoover's sign on ... patients with COPD ... #sign #PhysicalExam ... Video #Breathing #Respiratory ... #pulmonary #paradoxical
Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation → flattening
Hoover's sign on ... on inspiration Pulmonary ... Jcortesizaguirr #Hoovers ... #sign #PhysicalExam ... #pulmonary
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
Tracheal Descent Sign

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

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
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 ... #indications #criticalcare
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... 2 (or complete respiratory ... newly diagnosed COPD ... MatthewHoMD #COPD ... #pulmonary