23 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... /asthma • Pleural ... 12 / shallow breathing
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... pHTN, Advanced COPD ... Airway Disease: Asthma ... , COPD, Bronchiectasis ... #Diagnosis #causes
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Airway Disease (Asthma ... , COPD) • Vascular ... Diagnosis #Algorithm #Causes ... #Pulmonary
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
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
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
• Tachypnea: Respiratory ... 20/min, shallow breathing ... Pulmonary Causes ... Tachypnea: • Asthma ... • COPD • Pneumonia
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
consider infarction, hypoxia ... asthma, chronic ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory ... direction leads to hypoxemia ... , asthma, COPD, ... pulmonary embolus ... #Failure #hypoxia
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