37 results
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
Campbell’s sign or Tracheal ... in Longstanding COPD ... #Descent #COPD ... #neck #physicalexam ... #pulmonary #respiratory
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Seen in this COPD ... clinical #video #physicalexam ... #respiratory #pulmonary ... #COPD
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Hemangiomas • Vocal cord ... #differential #diagnosis ... #causes #pulmonary ... #airway #physicalexam
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
- Differential Diagnosis ... against narrowed airway ... Paradoxical vocal cord ... motion, Vocal cord ... #Framework #pulmonary
Differential Diagnosis of Wheezing
 • Extrathoracic (wheezing Is typically inspiratory): Anaphylaxis, Vocal cord pathology, Laryngeal stenosis,
Differential Diagnosis ... Anaphylaxis, Vocal cord ... : Tracheal stenosis ... Tracheomalacia, Tracheal ... #Causes #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Stridor - Upper airway ... Epiglottitis • Vocal cord ... Movement - Lower airway ... compliance (e.g., flail ... #differential #Diagnosis
Anatomical Differences Between Pediatric and Adult Airways 
Pediatric airway is... 
• Proportionally smaller larynx 
• Narrowest
Pediatric and Adult Airways ... Pediatric airway ... cartilage (below vocal cords ... pediatrics due to short trachea ... CriticalCare #Intubation #Diagnosis
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... of Dyspnea: • Airways ... - Asthma - COPD ... - Obesity - Flail ... #differential #diagnosis
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
fracture-dislocation - Airway ... more places - Flail ... chest, pulmonary ... Esophageal disruption, tracheal ... chestxray #trauma #diagnosis
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... sound over central airways ... intubation Expiratory (Tracheal ... Peribronchial pulmonary ... #algorithm #pulmonary