17 results
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... Ratios Barrel Chest ... 1.5 Pursed Lip Breathing ... Hyperresonance of chest ... #pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
pneumothorax, COPD ... 12 / shallow breathing ... MG, ALS) • ↓ chest ... compliance (e.g., flail chest ... #Diagnosis #Management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Artery Disease • Stable ... Thickening/Masses Chest ... #Diagnosis #Algorithm
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
heart failure, COPD ... CXR +/- High res CT ... chest scan), CBC ... HIVAIDS #workup #diagnosis ... #evaluation #differential
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... , Pursed lip breathing ... #pulmonary
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Diagnosis Algorithm ... Disease (Asthma, COPD ... Abnormalities • Chest ... #Diagnosis #Algorithm
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Diagnosis Algorithm ... lymadenopathy, clubbing, chest ... exam, etc) • ... refer + order CT ... #Diagnosis #Algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Embolism (chest ... Hypertension - Chest ... #Diagnosis #Algorithm
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
High-Res Chest CT ... Patterns - Differential ... Diagnosis Framework ... HiRes #HighRes #Chest ... Differential #Diagnosis
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... Diagnosis for Pulmonary ... anti-GBM ab, ANA, C3, C4 ... high resolution chest ... CT • Bronchoscopy