11 results
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
is often a sign ... #PhysicalExam # ... respiratory #clinical ... #video #pulmonary ... #peds #pediatrics
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing ... in Pediatric Respiratory ... HFNC Inward chest ... clinical #Video #Pulmonary ... #PhysicalExam #
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent Sign ... Tracheal #Descent #Sign ... clinical #video #physicalexam ... #respiratory #pulmonary ... #breathing #Trachea
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
outward as is normal ... Pulmonary #COPD ... #PhysicalExam #Video ... #Clinical #Breathing ... #Paradoxical #Respiratory
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... 1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Dyspnea, Wheeze, Chest ... Findings: Variably abnormal ... Cyanosis, Barrel chest ... , Pursed lip breathing ... comparison #Diagnosis #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... disease, pleuritic chest ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
Hoover's sign on ... patients with COPD ... #PhysicalExam # ... Clinical #Video #Breathing ... #Respiratory #pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Nasal polyps and signs ... Physical stigmata of cor ... high-resolution chest ... - BAR >1.0 is abnormal
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Pediatric Trauma ... sedation needs B - Respiratory ... shock - ↓HR, ↓BP, Abnormal ... concern for spinal cord ... injury #Pediatrics