17 results
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
This change causes ... direction and the anterior ... #Respirations #Breathing ... Clinical #Video #PhysicalExam ... #Pulmonary #Respiratory
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Biot's Respiration on Physical Exam
Biot's respiration is an abnormal pattern of breathing characterized by groups of
respiration is an abnormal ... : neurological causes ... #Respirations #PhysicalExam ... #video #pulmonary ... #Respiratory
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
outward as is normal ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing ... #Paradoxical #Respiratory
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... Pulmonary Causes ... • Asthma • COPD
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... #causes #pulmonary ... #airway #physicalexam
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Findings: Variably abnormal ... chest, Pursed lip breathing ... #comparison #Diagnosis ... #pulmonary
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
maintain a near-normal ... of breathing). ... patients present with respiratory ... airflow obstruction causes ... #Diagnosis #COPD
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... from below vocal cords ... Pseudo-hemoptysis = upper respiratory ... has potential to cause ... #pulmonary #criticalcare