13 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
A serious case of Flail chest. This is a medical emergency!

Medical Talk @TheMedicalTalk

#Flail #Chest #Breathing #Pattern
A serious case of ... Flail chest. ... #Chest #Breathing ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... • Asthma • COPD ... Chest Wall Abnormalities ... Pneumonia • ARDS • COPD ... Diagnosis #Algorithm #Causes
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Asthma - COPD ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular ... #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
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Disease (Asthma, COPD ... • Chest Wall ... Abnormalities ... Diagnosis #Algorithm #Causes
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... differential #diagnosis #causes ... #pulmonary #airway ... #physicalexam
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... DDx includes flail ... Paradoxical #Breathing #PhysicalExam ... #respiratory #clinical ... #video #pulmonary