24 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... #Tracheal #Descent ... #Sign #clinical ... #video #physicalexam ... #respiratory #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... sign #Tracheal #Descent ... #COPD #clinical ... trachea #neck #physicalexam ... #pulmonary #respiratory
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
Kussmaul Breathing ... originates in the chest ... #Respirations #Clinical ... #Video #PhysicalExam ... #Pulmonary #Respiratory
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
blue marks on her chest ... the underlying diagnosis ... The rapid Y descent ... #Sign #PhysicalExam ... #Video #Clinical
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Kussmaul's Sign and Friedreich's Sign on Neck Examination

A middle-aged M with unknown PMH presents with dyspnea.
Most likely diagnosis ... the skin (middle chest ... (sharp/deep Y-descent ... Friedreichs #Neck #JVP #PhysicalExam ... #Clinical #Video
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... in obstructive lung ... exacerbation (cardiogenic pulmonary ... hair) • Risk Of Clinical ... decreased preload, Recent
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
hyperexpansion of the lungs ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... #Video #Clinical ... #Paradoxical #Respiratory
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... Kussmaul breathing ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
for alternate diagnoses ... ventilated • CXR, Lung ... 2 (or complete respiratory ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary