25 results
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 ... Pulmonary #COPD ... #PhysicalExam #Video ... #Clinical #Breathing
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... #Sign #PhysicalExam ... #clinical #video ... #pulmonary #COPD ... #respiratory
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
patients with COPD ... #sign #PhysicalExam ... #Clinical #Video ... #Breathing #Respiratory ... #pulmonary #paradoxical
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... #clinical #video ... #pulmonary #respiratory
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... atelectasis • Lung ... MG, ALS) • ↓ chest ... Hypoxemia #Hypoxia #differential
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Descent #Sign #clinical ... #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Disease (Asthma, COPD ... • Interstitial lung ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... In COPD, decreases ... edema) • COPD ... patients (ie., CHF or COPD ... hair) • Risk Of Clinical