16 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... clinical #video #physicalexam ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
Wheezing - Differential ... Paradoxical vocal cord ... motion, Vocal cord ... /COPD, Viral infections ... Diagnosis #Framework #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison ... #Diagnosis #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... 12 / shallow breathing ... Hypoxemia #Hypoxia #differential
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 ... SatyaPatelMD #COPD ... #PhysicalExam # ... 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 ... COPD, and more specifically ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... Tachypnea: • Asthma ... • COPD • Pneumonia
Accessory Muscle Use in COPD - Physical Exam

In the this patient with COPD, we see the
Muscle Use in COPD ... this patient with COPD ... #Accessory #COPD ... #breathing #respiratory ... #pulmonary #clinical
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Bronchoconstriction: Asthma ... , COPD, Anaphylaxis ... Peribronchial pulmonary ... Stridor #Noisy #Breathing ... #differential #