18 results
Key features on examination in COPD (Chronic obstructive pulmonary disease)

#Diagnosis #PhysicalExam #COPD #Manifestations #Features #Diagram
examination in COPD ... (Chronic obstructive ... pulmonary disease ... #Diagnosis #PhysicalExam ... #COPD #Manifestations
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Differential Diagnosis Pulmonary ... /Chest Wall: • ... : Asthma, COPD, ... Pleural effusion, Pulmonary ... : Tumor, Vocal cord
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... Ratios Barrel Chest ... Hyperresonance of chest ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... • Asthma • COPD ... Thickening/Masses Chest ... Pneumonia • ARDS • COPD ... Metabolic Acidosis #Chronic
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Secondary to chronic ... lung disease (COPD ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
disease Group III - Chronic ... hypoxemia • COPD ... • Sarcoidosis, chronic ... dyspnea, fatigue, or chest ... dyspnea, fatigue, chest
Patterns of disease in advanced COPD

Type A: 
Pink Puffer (Emphysema Predominant) 
Major complaint is dyspnea, often
disease in advanced COPD ... Chest is very quiet ... Major complaint is chronic ... Chest is noisy, ... #BlueBloater #Pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Symptoms: • Chronic ... Loss of weight • Chest ... obstruction • COPD ... Physical stigmata of cor ... high-resolution chest
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Acute Eos PNA • Chronic ... Pneumonia, COP, Chronic ... HiRes #HighRes #Chest ... #radiology
Barrel Chest Appearance on Lateral Chest Xray
Typically seen in the setting of chronic air-trapping in COPD

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on Lateral Chest ... the setting of chronic ... air-trapping in COPD ... #CXR #Lateral #Radiology ... #pulmonary