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diagnosis differential hypoxemia hypoxia interpretation pfts abnormal abnormalities bronchiectasis causes clinical comparison function functiontests hoovers likelihoodratios lrs management noisy paradoxical
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... atelectasis • Lung ... 12 / shallow breathing
Pulmonary Function Testing (PFT) Interpretation Algorithm Restrictive Lung Disease: • Chest wall or neuromuscular disorders • Interstitial
Pulmonary Function ... Disease: • Chest ... Emphysematous COPD ... Non-emphysematous COPD ... #COPD
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Carboxyhemoglobinemia • Chest ... • Interstitial Lung ... Disease • Asthma ... Non-Emphysematous COPD ... Emphysematous COPD
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... , Pursed lip breathing ... Subxiphoid PMI • COPD ... #COPD #comparison
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 ... hyperexpansion of the lungs ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam
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 Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Differential Diagnosis Algorithm ... Airway Disease (Asthma ... , COPD) • Vascular ... • Interstitial lung ... Abnormalities • Chest
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 ... #Pulmonary #Abnormalities ... Abnormal #Diagnosis #PhysicalExam
An Algorithm for the Diagnosis of Wheezing and Stridor Stridor: Louder, constant-pitch sound over central airways Wheezing: Musical
An Algorithm for ... Bronchoconstriction: Asthma ... , COPD, Anaphylaxis ... Stridor #Noisy #Breathing ... #pulmonary
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... obstruction • COPD ... Physical stigmata of cor ... in the adjacent lung ... of the affected lung
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