31 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 ... #criticalcare #differential
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 - Differential ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... • Asthma • COPD ... • Hypovolemic shock
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia - Differential ... pHTN, Advanced COPD ... Pressure Vent, pHTN, Shock ... Disease: Asthma, COPD ... Hypoxemia #hypoxia #Differential
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing ... Hypoxemia #Hypoxia #differential
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
Pediatric Stridor - Differential ... Infancy with No Respiratory ... Hemangioma • Vocal Cord ... Hemangioma • Vocal Cord ... Peds #Pediatrics #Pulmonary
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
Wheezing - Differential ... Paradoxical vocal cord ... motion, Vocal cord ... bronchi: - Asthma/COPD ... Diagnosis #Framework #pulmonary