32 results
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
tachycardia, dyspnea, cold ... brain or spinal cord ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... HYPOVOLEMIC (Cold
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 ... cardiomyopathy HYPOVOLEMIC (Cold
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... FailureCOPD ... and Ventilatory Failure ... Settings • CHF / Pulmonary ... #NonInvasive #Respiratory
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
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic Respiratory ... Failure Phenotypes ... #Hypercapnic #Respiratory ... #Failure #Phenotypes ... #COPD #diagnosis
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... of right heart failure ... Subxiphoid PMI • COPD ... EricsMedicalLectures/ #Asthma #COPD
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
Paradoxical vocal cord ... motion, Vocal cord ... bronchi: - Asthma/COPD ... , Edema- heart failure ... Diagnosis #Framework #pulmonary
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 ... failure (ie OHS