12 results
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
DDx includes flail ... Paradoxical #Breathing #PhysicalExam ... #respiratory #clinical ... #video #pulmonary ... #peds #pediatrics
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
Causes of Pediatric ... Stridor - Differential ... Diagnosis Algorithm ... Infancy with No Respiratory ... #Pulmonary
Dyspnea - Differential Diagnosis Framework

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

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Stridor - Differential ... Diagnosis Framework ... #diagnosis #causes ... #pulmonary #airway ... #physicalexam
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... Hypoxemia #Hypoxia #differential ... #Diagnosis #Management
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Wall Elasticity (flail ... chest) • Low ... Hypoxia #hypoxemia #differential ... #diagnosis
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... Physical stigmata of cor ... high-resolution chest ... #differential # ... diagnosis
RN-CHAMPS Mnemonic for Types of Shock

R - Respiratory - Flail Chest, Tension Pneumothorax, Pleural Effusion, Hypoxemia
of Shock R - Respiratory ... - Flail Chest, ... - TBI, Spinal Cord ... Mnemonic #Acronym #Differential ... #Diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... /- High res CT chest ... Urine Histo Ag, Respiratory ... HIVAIDS #workup #diagnosis ... #evaluation #differential