10 results
Paradoxical Respirations in Acute Respiratory Failure on Physical Exam

- Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Respirations #Breathing #Respiratory
Paradoxical Respirations ... #Respirations # ... Breathing #Respiratory ... PhysicalExam #clinical #video ... #Pulmonary
Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory
Paradoxical Respirations ... #Respirations # ... Breathing #Diaphragm ... #Clinical #Video ... #PhysicalExam #Pulmonary
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... downwards, thereby paradoxically ... Hoovers #Sign #Pulmonary ... #Video #Clinical ... #Breathing #Paradoxical
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Descent Sign Paradoxical ... Video via Dr. ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
20/min, shallow breathing ... > 20/min, deep breathing ... • Asthma • COPD ... obstruction • Paradoxical ... Post-Ictal/Grand mal
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Check out the paradoxical ... movement Typical management ... #Flail #Chest #Breathing ... Pattern #Trauma #Video ... #PhysicalExam #Pulmonary
Hoover's sign on Physical Exam

Paradoxical inward movement of the rib cage with inspiration seen in patients
Physical Exam Paradoxical ... patients with COPD ... PhysicalExam #Clinical #Video ... #Breathing #Respiratory ... #pulmonary #paradoxical
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 • Predominately horizontal lines
 • A-lines are repeated horizontal &
lungs, asthma, COPD ... and move with respirations ... Commonly seen in pulmonary ... - MCW EM Ultrasound ... #Lung #POCUS #pulmonary
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... variation with respiration ... • PULMONARY A ... comparison #challenges #management
Severe Influenza Checklist

Diagnostic tests 
 - Blood cultures x2 
 - Sputum gram stain & culture
function tests - Ultrasound ... COPD/asthma or adrenal ... lab-confirmed influenza, pulmonary ... , and GFR > 30 ml ... Influenza #Checklist #Management