18 results
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... fractures missed by CXR ... rob_cosentini #Flail #Chest
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
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
Flail Chest Breathing ... on Physical Exam ... shows a flail chest ... fractures missed by CXR ... rob_cosentini #Flail #Chest
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
12 / shallow breathing ... MG, ALS) • ↓ chest ... compliance (e.g., flail chest ... Hypoxemia #Hypoxia #differential ... #Diagnosis #Management
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
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Diagnosis Algorithm ... lymadenopathy, clubbing, chest ... exam, etc) • ... Abnormal CXR: refer ... + order CT, bronchoscopy
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Artery Disease • Stable ... • Asthma • COPD ... Thickening/Masses Chest
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
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
and Management Differential ... , Flash Pulmonary ... Bronchospasm, Pulmonary ... Troponin), ABG, STAT CXR ... , CTA Chest, Echocardiogram
Differential diagnosis on HRCT
Most of our knowledge about imaging findings in interstitial lung disease comes from
Differential diagnosis ... low attenuation (table ... On a Chest X-Ray ... detected on a chest ... #Pulmonary #CXR