15 results
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
is often a sign ... It causes the chest ... #PhysicalExam # ... respiratory #clinical ... #video #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... disease, pleuritic chest ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
hyperexpansion of the lungs ... Pulmonary #COPD ... #PhysicalExam #Video ... #Clinical #Breathing ... #Paradoxical #Respiratory
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
1.5 Pursed Lip Breathing ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD #PhysicalExam ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Presentation and Diagnosis ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... , Pursed lip breathing ... #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... sliding/barcode sign ... bilateral B-lines - Normal ... severity Acute Respiratory ... #differential #diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Weakness, Loss of Chest ... Elasticity (flail chest ... , Interstitial Lung ... #differential #diagnosis
Lung Hernia (Sibson Hernia) on physical exam due to a traumatic chest injury.

Sibson Hernia is a
to a traumatic chest ... is noted after chest ... surgery or certain pulmonary ... thoracic #trauma #physicalexam ... #respiratory #breathing
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... in the adjacent lung ... of the affected lung ... high-resolution chest ... - BAR >1.0 is abnormal
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
different phases of respiratory ... C02 (PECO2) • Abnormal ... the heart to the lung ... oscillations - Sign ... interpretation #patterns #diagnosis