31 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Stridor - Upper airway ... Epiglottitis • Vocal cord ... Movement - Lower airway ... pneumothorax, COPD ... #differential #Diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... SatyaPatelMD #COPD ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... #causes #pulmonary ... #airway #physicalexam
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
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
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... Hoovers #Sign #PhysicalExam ... #clinical #video ... #pulmonary #COPD ... #respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD ... hair) • Risk Of Clinical
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
against narrowed airway ... Paradoxical vocal cord ... motion, Vocal cord ... bronchi: - Asthma/COPD ... #Framework #pulmonary
Stridor from Vocal Cord Paralysis on Physical Exam (Audio)

The video shows high-pitched noise (stridor) from vocal
Stridor from Vocal Cord ... stridor) from vocal cord ... Stridor #Vocal #Cord ... #Audio #clinical ... #video #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Tachyarrhythmia Airway ... • Asthma • COPD ... Thickening/Masses Chest ... Pneumonia • ARDS • COPD