13 results
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... #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 ... HFNC Inward chest ... Paradoxical #Pediatrics #Peds ... clinical #Video #Pulmonary ... #PhysicalExam #
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
Pediatric Stridor - Differential ... Diagnosis Algorithm ... Infancy with No Respiratory ... #Causes #Peds # ... Pediatrics #Pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... Diagnosis Framework ... #diagnosis #causes ... #pulmonary #airway ... #physicalexam
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... 12 / shallow breathing ... MG, ALS) • ↓ chest ... Hypoxemia #Hypoxia #differential ... #Diagnosis #Management
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
Tachypnea - Differential ... Diagnosis Framework ... 20/min, shallow breathing ... • Asthma • COPD ... #Diagnosis #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... , Pursed lip breathing ... #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #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 ... Stridor #Noisy #Breathing ... #differential # ... diagnosis #algorithm ... #pulmonary