18 results
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 ... downwards, thereby paradoxically ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Physical Exam Paradoxical ... patient in severe COPD ... Hoovers #Sign #PhysicalExam ... clinical #video #pulmonary ... #COPD #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Descent Sign Paradoxical ... Seen in this COPD ... clinical #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD
Key features on examination in COPD (Chronic obstructive pulmonary disease)

#Diagnosis #PhysicalExam #COPD #Manifestations #Features #Diagram
examination in COPD ... Chronic obstructive pulmonary ... disease) #Diagnosis ... #PhysicalExam # ... COPD #Manifestations
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... compliance (e.g., flail ... #differential #Diagnosis
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
- Anaphylaxis, Paradoxical ... vocal cord motion ... , Vocal cord edema ... bronchi: - Asthma/COPD ... #Framework #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Asthma • COPD ... Masses Chest Wall Abnormalities ... Pneumonia • ARDS • COPD ... #Differential #Diagnosis
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
- Differential Diagnosis ... Disease (Asthma, COPD ... Weakness • Pleural Abnormalities ... • Chest Wall Abnormalities ... #Differential #Diagnosis
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... - Tamponade Pulmonary ... - Asthma - COPD ... - Obesity - Flail ... #differential #diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... SatyaPatelMD #COPD ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary