25 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... distress. ... clinical #video #physicalexam ... #respiratory #pulmonary ... breathing #Trachea #COPD
Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Breathing #Respiratory #Distress #clinical
Examination - Acute ... Respiratory Distress ... #Distress #clinical ... #video #physicalexam ... #Pulmonary
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
- Differential Diagnosis ... Infancy with No Respiratory ... Stenosis Non-Acute ... Papillomatosis Acute ... Peds #Pediatrics #Pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... Retropharyngeal abscess • Acute ... #causes #pulmonary ... #airway #physicalexam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... 70%, Scooped out expiratory ... curve, Low peak expiratory ... #comparison #Diagnosis ... #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... the severity Acute ... Respiratory Distress ... lung sliding COPD ... #differential #diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Berlin Criteria for Acute ... Respiratory Distress ... consistent with pulmonary ... #Respiratory #Distress ... Definition #Criteria #Diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Management of Acute ... for alternate diagnoses ... 2 (or complete respiratory ... deficiency for newly diagnosed ... Exacerbation #treatment #pulmonary
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
COPD phenotypes: ... patients present with respiratory ... distress and tachypnea ... #Diagnosis #COPD ... #BlueBloaters #Comparison