22 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... atelectasis • Lung ... compliance (e.g., flail ... Hypoxemia #Hypoxia #differential
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
Asthma, Asthma-COPD ... Overlap and COPD ... The diagnosis of COPD ... ACO = asthma-COPD ... #Diagnosis #Management
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
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
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... - Asthma - COPD ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
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
Pharmacologic treatment algorithms by Global Initiative for Chronic Obstructive Lung Disease grade. Highlighted boxes and arrows
Chronic Obstructive Lung ... LAMA: long-acting ... ; FEV1: forced expiratory ... #Management #Pulmonary ... #COPD #GOLD2017
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Disease (Asthma, COPD ... • Interstitial lung ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... ventilated • CXR, Lung ... 2 (or complete respiratory ... newly diagnosed COPD ... MatthewHoMD #COPD