26 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... Descent #Sign #clinical ... #physicalexam #respiratory ... #pulmonary #breathing
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 ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... Hoovers #Sign #Pulmonary ... #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 ... > 20/min, deep breathing ... • Asthma • COPD
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... , drug-induced respiratory ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... curve, Low peak expiratory ... chest, Pursed lip breathing ... #comparison #Diagnosis ... #pulmonary
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... Peribronchial pulmonary ... Stridor #Noisy #Breathing ... #differential #diagnosis ... #algorithm #pulmonary
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
physiology and clinical ... increased work of breathing ... patients present with respiratory ... in the work of breathing ... #Diagnosis #COPD
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #McConnells
Accessory Muscle Use in COPD - Physical Exam

In the this patient with COPD, we see the
Muscle Use in COPD ... this patient with COPD ... air during the expiratory ... #breathing #respiratory ... #pulmonary #clinical