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differential algorithm causes management stridor abnormal abnormalities acute airway bronchiectasis chestpain chronic comparison dyspnea hyperpnea hypoxemia hypoxia likelihoodratios lrs noisy
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 # ... #pulmonary
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... and Diagnosis Asthma ... between attacks COPD ... #COPD #comparison ... #Diagnosis #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... 12 / shallow breathing ... #differential #Diagnosis
Acute and Chronic Causes of Dyspnea - Differential Diagnosis Pulmonary/Chest Wall: • Acute: Trauma, COPD exacerbation, Asthma
Pulmonary/Chest ... Wall: • Acute: Trauma ... , COPD exacerbation ... , COPD, CTEPH, ILD ... : Tumor, Vocal cord
Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
Ludwig's angina Trauma ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... #causes #pulmonary ... #airway #physicalexam
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
- Differential Diagnosis ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... Tachypnea: • Asthma ... • COPD • Pneumonia
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
disease, pleuritic chest ... Causes include asthma ... bronchitis, and COPD ... #Abnormal #Diagnosis ... #PhysicalExam
An Algorithm for the Diagnosis of Wheezing and Stridor Stridor: Louder, constant-pitch sound over central airways Wheezing: Musical
Algorithm for the Diagnosis ... Bronchoconstriction: Asthma ... , COPD, Anaphylaxis ... Stridor #Noisy #Breathing ... #algorithm #pulmonary
Chest Pain Diagnosis and Management Algorithm STEMI: - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... Limb ischemia Pulmonary ... , Dyspnea, H/O COPD ... , asthma, CF, PCP ... #ChestPain #Diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... obstruction • COPD ... Physical stigmata of cor ... parenchyma Diagnosis ... high-resolution chest
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