29 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 Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
brain or spinal cord ... CARDIOGENIC (Cold ... OBSTRUCTIVE (Cold ... Types #diagnosis #management ... #cold #warm #wet
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 ... types #diagnosis #management
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
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing
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
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... #NonInvasive #Respiratory ... #Failure #management
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
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 ... #criticalcare #management