24 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Video via Dr. ... Sign #clinical #video ... #pulmonary #breathing ... #Trachea #COPD
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... Hoovers #Sign #Pulmonary ... #Video #Clinical ... #Breathing #Paradoxical ... #Respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... Mechanical: • Larynx fracture ... • Recurrent respiratory ... #causes #pulmonary
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 ... LR 11.8 Early inspiratory ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... > 20/min, deep breathing ... • Asthma • COPD
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... curve, Low peak expiratory ... chest, Pursed lip breathing ... #comparison #Diagnosis ... #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... , drug-induced respiratory ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis
Accessory Muscle Use in COPD - Physical Exam

In the this patient with COPD, we see the
Muscle Use in COPD ... this patient with COPD ... #breathing #respiratory ... #pulmonary #clinical ... #video #PhysicalExam
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... Bronchoconstriction: Asthma, COPD ... Peribronchial pulmonary ... Stridor #Noisy #Breathing ... #algorithm #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
for alternate diagnoses ... 2 (or complete respiratory ... deficiency for newly diagnosed ... #Exacerbation #treatment ... #pulmonary