10 results
Tracheal Descent Sign

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

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... #COPD #clinical ... #neck #physicalexam ... #pulmonary #respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... #causes #pulmonary ... #airway #physicalexam
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... 12 / shallow breathing ... compliance (e.g., flail ... #differential #Diagnosis
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 ... Pulmonary #COPD ... #PhysicalExam #Video ... #Clinical #Breathing
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... SatyaPatelMD #COPD ... #PhysicalExam # ... #pulmonary
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... intubation Expiratory (Tracheal ... Bronchoconstriction: Asthma, COPD ... Stridor #Noisy #Breathing ... #algorithm #pulmonary
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
Hoover's sign on ... patients with COPD ... #PhysicalExam # ... Clinical #Video #Breathing ... #Respiratory #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Occasional sighs ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
obstruction • COPD ... Nasal polyps and signs ... Physical stigmata of cor ... parenchyma Diagnosis ... #differential #diagnosis