18 results
Flail Chest on Physical Exam

Anterior flail chest post MVA, see seatbelt sign as another clue

Neville @docvlok

#Flail
Flail Chest on Physical ... see seatbelt sign ... #Chest #PhysicalExam ... video #trauma #pulmonary ... #respiratory
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 ... trachea #neck #physicalexam ... #pulmonary #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent Sign ... Seen in this COPD ... 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
Hoover’s Sign on ... patient in severe COPD ... #PhysicalExam # ... clinical #video #pulmonary ... #COPD #respiratory
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Epiglottitis • Vocal cord ... pneumothorax, COPD ... MG, ALS) • ↓ chest ... compliance (e.g., flail
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... movement Typical management ... Swaminathan @EMSwami #Flail ... Video #Clinical #PhysicalExam ... #Pulmonary #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
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
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
breathing is often a sign ... DDx includes flail ... Paradoxical #Breathing #PhysicalExam ... #respiratory #clinical ... #video #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... edema) • COPD ... patients (ie., CHF or COPD ... #indications #criticalcare ... #management