13 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... patient in severe respiratory ... #Tracheal #Descent ... clinical #video #physicalexam ... #respiratory #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... in Longstanding COPD ... sign #Tracheal #Descent ... trachea #neck #physicalexam ... #pulmonary #respiratory
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing in Pediatric ... Respiratory Distress ... HFNC Inward chest ... clinical #Video #Pulmonary ... #PhysicalExam #
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... Hyperresonance of chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... Paradoxical #Breathing #PhysicalExam ... #respiratory #clinical ... #video #pulmonary ... #peds #pediatrics
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... movement Typical management ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... exacerbation (cardiogenic pulmonary ... • Other acute respiratory ... decreased preload, Recent ... #criticalcare #management
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Other causes of respiratory ... copious secretions, Recent ... Ventilation #diagnosis #management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Limb ischemia Pulmonary ... retrosternal CP, H/O recent ... , Dyspnea, H/O COPD
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Breathing Normal The respiratory ... disease, pleuritic chest ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam