15 results
Lung Findings on Physical Exam
Crackles:
 • Short, discontinuous, sounds mostly heard during inspiration
 • Caused by
collapsed distal airways ... alveoli as seen in pulmonary ... extra-thoracic airway ... Lung #Findings #Pulmonary ... #PhysicalExam #
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
respiratory drive due to neurologic ... DIFFUSION DISORDER • Difficulty ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... shunting (eg, pulmonary
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework

High Altitude Pulmonary Edema:
 • Accumulation
Uncommon Causes ... with exertion, difficulty ... radiography, pink frothy airway ... pressure due to airway ... #edema #causes
Romberg's Test for Proprioception
History: First described in the 19th century in patients with tabes dorsalis (later
Observe when patient closes ... standing can be difficult ... Rombergs #Test #neurology ... proprioception #physicalexam
Manifestations of Anaphylaxis by Body System

Dermatologic/mucosal

 - Eyes: periorbital swelling/erythema, injected conjunctiva, tears

 - Oral mucosa:
Respiratory - Lower airway ... arrest - Upper airway ... constriction; dry cough; difficulty ... Gastrointestinal - Nausea ... abdominal cramps Neurologic
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
differential #diagnosis #causes ... #pulmonary #airway ... #physicalexam
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acetazolamide Causes ... Classically” noted with pulmonary ... - Salicylates Causes ... hypoventilation) - Airway ... Diagnosis #Summary #Nephrology
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
has a number of causes ... because narrowed airways ... Causes include ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
What is the cause ... flow is always AWAY ... - SVC & IVC obstructions ... #Video #Chest #PhysicalExam
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
wrists flexed back, away ... Casey Albin MD @ ... caseyalbin #PhysicalExam ... #neurology #comatose