8 results
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Hoover’s Sign on ... patient in severe COPD ... #Sign #PhysicalExam ... clinical #video #pulmonary ... #COPD #respiratory
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 ... #Paradoxical #Respiratory
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... MG, ALS) • ↓ chest ... compliance (e.g., flail
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 ... #sign #PhysicalExam ... Video #Breathing #Respiratory ... #pulmonary #paradoxical
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
• Airways: - Asthma ... - COPD - Bronchiectasis ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison ... #Diagnosis #pulmonary
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
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... Causes include asthma ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam