21 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 ... #physicalexam #respiratory ... #pulmonary #breathing ... #Trachea #COPD
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... brain or spinal cord ... beriberi CARDIOGENIC (Cold ... ring OBSTRUCTIVE (Cold ... diagnosis #management #criticalcare
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
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 ... SatyaPatelMD #COPD ... LRs #diagnosis #pulmonary
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
• Tachypnea: Respiratory ... 20/min, shallow breathing ... > 20/min, deep breathing ... • Asthma • COPD ... • Hypovolemic shock
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Shock - Differential ... Anaphylaxis - Spinal cord ... a.k.a. neurogenic shock ... flow) - Massive pulmonary ... Classification #Table #CriticalCare
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
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... chest, Pursed lip breathing ... Subxiphoid PMI • COPD ... EricsMedicalLectures/ #Asthma #COPD
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
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
Shock Classification ... Differential Diagnosis SHOCK ... Medications, Spinal Cord ... , CVP > 12 • Pulmonary ... Diagnosis #Types #criticalcare