12 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 ... Hyperresonance of chest ... #PhysicalExam # ... #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 ... rob_cosentini #Flail #Chest ... #Breathing #PhysicalExam
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 ... rob_cosentini #Flail #Chest ... #Breathing #PhysicalExam
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
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 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
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis ... #PhysicalExam
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Loss of weight • Chest ... obstruction • COPD ... high-resolution chest ... CT) • Broncho-arterial ... #differential #
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
disease: Pleuritic chest ... Abscess - Physical Exam ... level seen • Chest ... CT Lung Abscess ... treatment until the chest